MARK E DOMAAS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

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

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025