PAUL BARTOLOMEO DI DOMENICO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128600

License Status

INACTIVE

Business

First Name

PAUL

Middle

BARTOLOMEO

Last Name

DI DOMENICO

Suffix

Business Name

PAUL BARTOLOMEO DI DOMENICO MD

Original Issue Date

07/22/2011

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

WOODBRIDGE

State

Zip

08840

Ever Disciplined

LastModifiedDate

04/08/2014