MAYA JANAY DOMINIQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173436

License Status

ACTIVE

Business

Title

First Name

MAYA

Middle

JANAY

Last Name

DOMINIQUE

Business Name

MAYA JANAY DOMINIQUE MD

Original Issue Date

01/19/2025

Effective Date

01/19/2025

Expiration Date

07/31/2026

City

MERRILLVILLE

State

Zip

46410

County

LAKE

Ever Disciplined

LastModifiedDate

01/19/2025