PIA MARIE STO DOMINGO LORENZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047220

License Status

EXPIRED

Business

First Name

PIA MARIE

Middle

STO DOMINGO

Last Name

LORENZO

Suffix

Business Name

PIA MARIE STO DOMINGO LORENZO MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

HONOLULU

State

Zip

96813

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007