DOMINICK DETOMMASO - Podiatrist License in Indiana | # 016002962

DOMINICK DETOMMASO

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002962

License Status

INACTIVE

Business

N

First Name

DOMINICK

Last Name

DETOMMASO

Business Name

DOMINICK DETOMMASO

Original Issue Date

08/03/1977

Effective Date

08/03/1977

Expiration Date

01/31/1989

State

IN

Ever Disciplined

N

LastModifiedDate

09/25/2006