KATHRYN DOMINICK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

KATHRYN

Last Name

DOMINICK

Business Name

KATHRYN DOMINICK DO

Original Issue Date

08/29/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

KALAMAZOO

State

Zip

49006

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023