License holder summary

MARYAM MANOUCHEHRI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for MARYAM MANOUCHEHRI is Philadelphia PA 19130. This licensed professional license is not current. The license was granted 01/04/1999 and expired on 03/31/2007.

Pennsylvania

Department of State

MARYAM MANOUCHEHRI
Dentistry - Anesthesia Permit - Restricted II
License number
DN030817A
Date granted
01/04/1999
Date expires
03/31/2007
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
Philadelphia PA 19130
palicensing.org
ID 16537576
LAST UPDATED 2026-05-25 01:08:07 UTC

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