License holder summary

SIVA PRAKASH KOLLA is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for SIVA PRAKASH KOLLA is Bellevue WA 98008. This licensed professional license is current. The license was granted 11/29/2007 and expired on 03/31/2017.

Pennsylvania

Department of State

SIVA PRAKASH KOLLA
Dentistry - Anesthesia Permit - Restricted II
License number
DN001229
Date granted
11/29/2007
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Bellevue WA 98008
palicensing.org
ID 16537139
LAST UPDATED 2026-06-23 05:09:29 UTC

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