DZIWE WILLARD NTABA

Graduate Medical Trainee

Pennsylvania  MT180432   Inactive

This Pennsylvania license was held by DZIWE WILLARD NTABA. The license is no longer active. It was granted on 06/14/2002 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: MT180432
  • Category: Graduate Medical Trainee
  • Status: Inactive
  • Date Granted: 06/14/2002 (almost 23 years ago)
  • Expiry Date: 06/30/2005 (almost 20 years ago)

LOCATIONS

A Address

Minneapolis MN 55416