License holder summary

TALYA R SPIVACK is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for TALYA R SPIVACK is Philadelphia PA 19107. This medical practitioner license is not current. The license was granted 05/09/2007 and expired on 06/30/2014.

Department of State

Board of Medicine

TALYA R SPIVACK
Graduate Medical Trainee
License number
MT190814
Date granted
05/09/2007
Date expires
06/30/2014
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19107
medicinepa.com
ID 37569583
LAST UPDATED 2026-04-13 23:59:23 UTC

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