VITALIY YURYEVICH DOMASHEVICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103682

License Status

NOT RENEWED

Business

First Name

VITALIY

Middle

YURYEVICH

Last Name

DOMASHEVICH

Suffix

Business Name

VITALIY YURYEVICH DOMASHEVICH MD

Original Issue Date

10/23/2000

Effective Date

06/12/2008

Expiration Date

07/31/2011

City

CENTENNIAL

State

Zip

80015

County

COLORADO

Ever Disciplined

LastModifiedDate

11/14/2011