License holder summary

SEPIDEH LISA MANSOORIAN is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for SEPIDEH LISA MANSOORIAN is SAN JOSE CA 95124. This licensed professional license is not current. The license was granted 07/19/1994 and expired on 05/31/1995.

Pennsylvania

Department of State

SEPIDEH LISA MANSOORIAN
Dentistry - Anesthesia Permit - Restricted II
License number
DN028920A
Date granted
07/19/1994
Date expires
05/31/1995
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
SAN JOSE CA 95124
palicensing.org
ID 16534720
LAST UPDATED 2024-02-23 18:19:52 UTC

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