BARTOLOMEO DOMEN IAIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026329

License Status

NOT RENEWED

Business

First Name

BARTOLOMEO DOMEN

Last Name

IAIA

Suffix

Business Name

BARTOLOMEO DOMEN IAIA MD

Original Issue Date

05/12/1945

Effective Date

05/12/1945

City

PHILADELPHIA

State

Zip

19146

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006