MARY KATHLEEN DOMINSKI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060388

License Status

INACTIVE

Business

First Name

MARY KATHLEEN

Last Name

DOMINSKI

Suffix

Business Name

MARY KATHLEEN DOMINSKI MD

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

07/31/1987

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006