MOISES BASKINAS DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

MOISES BASKINAS

Last Name

DOMINGO

Suffix

Business Name

MOISES BASKINAS DOMINGO MD

Original Issue Date

07/24/1997

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014