DAYANA MARLEN DOMINGUEZ BATISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155311

License Status

NOT RENEWED

Business

Title

First Name

DAYANA

Middle

MARLEN

Last Name

DOMINGUEZ BATISTA

Business Name

DAYANA MARLEN DOMINGUEZ BATISTA MD

Original Issue Date

01/19/2021

Effective Date

01/19/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

11/30/2023