License holder summary

NATASHA STAVISKY is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for NATASHA STAVISKY is PHILADELPHIA PA 19106. This licensed professional license is not current. The license was granted 06/18/2002 and expired on 03/31/2005.

Pennsylvania

Department of State

NATASHA STAVISKY
Dentistry - Anesthesia Permit - Restricted I
License number
DP000533
Date granted
06/18/2002
Date expires
03/31/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Deceased
Address
PHILADELPHIA PA 19106
palicensing.org
ID 16534089
LAST UPDATED 2024-04-08 10:24:23 UTC

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