License holder summary

CHIZOBAM N IDAHOSA is a Dentist licensed to practice in Pennsylvania. The address on file for CHIZOBAM N IDAHOSA is Philadelphia PA 19140. This medical practitioner license is current. The license was granted 05/20/2011 and expired on 03/31/2017.

Department of State

Board of Medicine

CHIZOBAM N IDAHOSA
Dentist
License number
DS038657
Date granted
05/20/2011
Date expires
03/31/2017
Class
Dentist
Status
Active
Address
Philadelphia PA 19140
medicinepa.com
ID 37430966
LAST UPDATED 2024-04-05 05:38:23 UTC

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