License holder summary

Ika Noviawaty is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Ika Noviawaty is 55 N Lake Avenue, Worcester 01655. This licensed professional license is current. The license was granted 11/19/2015 and expired on 11/09/2016.

Massachusetts

Division of Professional Licensure

Ika Noviawaty
Board Of Registration In Medicine
License number
265068
Date granted
11/19/2015
Date expires
11/09/2016
Class
Board Of Registration In Medicine
Status
Active
Address
55 N Lake Avenue
licensingma.org
ID 41462240
LAST UPDATED 2024-06-01 22:45:41 UTC

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