NANA NKETIAH DWOMOH DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113380

License Status

INACTIVE

Business

First Name

NANA

Middle

NKETIAH

Last Name

DWOMOH

Suffix

Business Name

NANA NKETIAH DWOMOH DO

Original Issue Date

04/04/2005

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

SURPRISE

State

Zip

85374

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/08/2014