WILLIAM K DOMARAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115815

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

DOMARAD

Business Name

WILLIAM K DOMARAD

Original Issue Date

05/01/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

IDAHO FALLS

State

Zip

83404

County

IDAHO

Ever Disciplined

LastModifiedDate

02/07/2011