LEWIS R DOMKE JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056823

License Status

INACTIVE

Business

First Name

LEWIS R

Last Name

DOMKE JR

Suffix

Business Name

LEWIS R DOMKE JR MD

Original Issue Date

06/15/1978

Effective Date

06/15/1978

Expiration Date

07/31/1987

City

WASHINGTON

State

Zip

47501

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006