DOMINIQUE JUANITA CRAIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171012

License Status

ACTIVE

Business

Title

First Name

DOMINIQUE

Middle

JUANITA

Last Name

CRAIN

Business Name

DOMINIQUE JUANITA CRAIN MD

Original Issue Date

07/08/2024

Effective Date

07/08/2024

Expiration Date

07/31/2026

City

ALPHARETTA

State

Zip

30005

Ever Disciplined

LastModifiedDate

07/08/2024