JOSE D DOMINGUEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021367

License Status

NOT RENEWED

Business

First Name

JOSE D

Last Name

DOMINGUEZ

Business Name

JOSE D DOMINGUEZ

Original Issue Date

10/05/1988

Effective Date

10/05/1988

Expiration Date

09/30/1994

City

FORT STEWART

State

Zip

31313

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005