OMAR LATIMER DOMINIQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144834

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

LATIMER

Last Name

DOMINIQUE

Business Name

OMAR LATIMER DOMINIQUE MD

Original Issue Date

12/20/2017

Effective Date

08/24/2023

Expiration Date

07/31/2026

City

QUEEN CREEK

State

Zip

85142

Ever Disciplined

LastModifiedDate

08/24/2023