MINERVA T DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092256

License Status

NOT RENEWED

Business

First Name

MINERVA T

Last Name

DOMINGO

Suffix

Business Name

MINERVA T DOMINGO MD

Original Issue Date

12/16/1995

Effective Date

12/16/1995

Expiration Date

07/31/1999

City

NORTH ANDOVER

State

Zip

08145

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006