To use an access  DB on your PD, you're going to need the underlying "Jet"
engine, even if you don't have the rest of Access installed. You probably
don't have it installed at the moment.

Why not just change your Office 2003 installation to include Access?

Once the Jet engine is installed on your PC, you can access an mdb database
via a connection and SQL from Excel VBA. You can do most things to it
(including creating and deleting tables), but I have this funny feeling that
you can't actually create  an empty mdb database  via SQL. No problem
though - all you need is an existing mdb file to empty and refill.