LEWIS R DOMKE JR MD - Medical Doctor License in Indiana | # 036056823

LEWIS R DOMKE JR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056823

License Status

INACTIVE

Business

N

First Name

LEWIS R

Last Name

DOMKE JR

Suffix

MD

Business Name

LEWIS R DOMKE JR MD

Original Issue Date

06/15/1978

Effective Date

06/15/1978

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006