DANIEL G DOMJAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105183

License Status

INACTIVE

Business

First Name

DANIEL

Middle

Last Name

DOMJAN

Business Name

DANIEL G DOMJAN

Original Issue Date

07/11/2001

Effective Date

07/11/2001

Expiration Date

07/31/2005

City

NORFOLK

State

Zip

68701

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/09/2006