PIA MARIE STO DOMINGO LORENZO MD - Medical Doctor License in Hawaii | # 125047220

PIA MARIE STO DOMINGO LORENZO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047220

License Status

EXPIRED

Business

N

First Name

PIA MARIE

Middle

STO DOMINGO

Last Name

LORENZO

Suffix

MD

Business Name

PIA MARIE STO DOMINGO LORENZO MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

State

HI

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007