LAURENCE EDWARD DOMINO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074104

License Status

INACTIVE

Business

First Name

LAURENCE EDWARD

Last Name

DOMINO

Suffix

Business Name

LAURENCE EDWARD DOMINO MD

Original Issue Date

11/10/1986

Effective Date

11/10/1986

Expiration Date

07/31/1993

City

BIRMINGHAM

State

Zip

35216

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006