MOISES BASKINAS DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066172

License Status

NOT RENEWED

Business

First Name

MOISES BASKINAS

Last Name

DOMINGO

Suffix

Business Name

MOISES BASKINAS DOMINGO MD

Original Issue Date

03/03/1983

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

11/17/2014