MICHAEL G DOMINOV Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018494

License Status

INACTIVE

Business

First Name

MICHAEL G

Last Name

DOMINOV

Business Name

MICHAEL G DOMINOV

Original Issue Date

04/12/1983

Effective Date

04/12/1983

Expiration Date

09/30/1990

City

WEST HATFIELD

State

Zip

01088

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005