KEYOUMARS IZADI
Dentistry - Temporary Anesthesia Permit - Unrestricted
Pennsylvania TDA000007 Inactive
This Pennsylvania license was held by KEYOUMARS IZADI. The license is no longer active. It was granted on 07/15/2004 and expired on 07/15/2005
LICENSE DETAILS
- License Number: TDA000007
- Category: Temporary Anesthesia Permit-Unrestricted
- Status: Inactive
- Date Granted: 07/15/2004 (almost 22 years ago)
- Expiry Date: 07/15/2005 (almost 21 years ago)
LOCATIONS
A Address
Encinitas CA 92024