MARK E DOMAAS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005716

License Status

ACTIVE

Business

Title

DPM

First Name

MARK

Middle

Last Name

DOMAAS

Business Name

MARK E DOMAAS DPM

Original Issue Date

04/27/2016

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

FARGO

State

Zip

58104

County

MINNESOTA

Ever Disciplined

LastModifiedDate

02/26/2025