License holder summary

KAMRAN TAVAKKOLI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KAMRAN TAVAKKOLI is Woodbridge VA 22192. This licensed professional license is not current. The license was granted 06/27/2002 and expired on 06/30/2005.

Pennsylvania

Department of State

KAMRAN TAVAKKOLI
Dentistry - Anesthesia Permit - Restricted II
License number
DN000580
Date granted
06/27/2002
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Woodbridge VA 22192
palicensing.org
ID 16537807
LAST UPDATED 2026-05-21 08:20:19 UTC

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