JEFFREY D DOMARK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026178

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

DOMARK

Suffix

DMD

Business Name

JEFFREY D DOMARK DMD

Original Issue Date

06/27/2003

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

VIRGINIA BEACH

State

Zip

23462

County

VIRGINIA

Ever Disciplined

LastModifiedDate

02/08/2016