EDWARD FELIX DOMINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036031818

License Status

NOT RENEWED

Business

First Name

EDWARD FELIX

Last Name

DOMINO

Suffix

Business Name

EDWARD FELIX DOMINO MD

Original Issue Date

03/11/1953

Effective Date

03/11/1953

City

ANN ARBOR

State

Zip

48104

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006