GABRIEL H DOMENECH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093869

License Status

NOT RENEWED

Business

First Name

GABRIEL H

Last Name

DOMENECH

Suffix

Business Name

GABRIEL H DOMENECH MD

Original Issue Date

08/03/1996

Effective Date

08/03/1996

Expiration Date

07/31/1999

City

TALLAHASSEE

State

Zip

32939

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006