MOISES BASKINAS DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MOISES BASKINAS

Last Name

DOMINGO

Suffix

Business Name

MOISES BASKINAS DOMINGO MD

Original Issue Date

11/23/1987

Effective Date

11/23/1987

Expiration Date

07/31/2005

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011