MAYA JANAY DOMINIQUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068608

License Status

EXPIRED

Business

Title

First Name

MAYA

Middle

JANAY

Last Name

DOMINIQUE

Business Name

MAYA JANAY DOMINIQUE MD

Original Issue Date

07/08/2019

Effective Date

07/08/2019

Expiration Date

06/30/2020

City

MERRILLVILLE

State

Zip

46410

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2020