JOSE L DOMINGUEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084143

License Status

INACTIVE

Business

First Name

JOSE L

Last Name

DOMINGUEZ

Suffix

Business Name

JOSE L DOMINGUEZ MD

Original Issue Date

03/23/1992

Effective Date

03/23/1992

Expiration Date

07/31/1993

City

TUCKER

State

Zip

30084

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006