WILLIAM K DOMARAD - Medical Doctor License in Idaho | # 036115815

WILLIAM K DOMARAD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115815

License Status

NOT RENEWED

Business

N

First Name

WILLIAM

Middle

K

Last Name

DOMARAD

Business Name

WILLIAM K DOMARAD

Original Issue Date

05/01/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

ID

Ever Disciplined

N

LastModifiedDate

02/07/2011