License holder summary

DZIWE WILLARD NTABA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for DZIWE WILLARD NTABA is Minneapolis MN 55416. This medical practitioner license is not current. The license was granted 06/14/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

DZIWE WILLARD NTABA
Graduate Medical Trainee
License number
MT180432
Date granted
06/14/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Minneapolis MN 55416
medicinepa.com
ID 37555073
LAST UPDATED 2024-03-06 09:24:20 UTC

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