MARIO ENRIQUE DOMENZAIN

Medical - Physician With A Temporary Permit To Practice Medicine

Alaska  5019   Licensed

This Alaska license is held by MARIO ENRIQUE DOMENZAIN. The license is currently active. It was granted on 12/02/2008 and expired on 06/02/2009

LICENSE DETAILS

  • License Number: 5019
  • Category: Physician WITH A TEMPORARY PERMIT TO PRACTICE MEDICINE
  • Status: Licensed
  • Date Granted: 12/02/2008 (over 16 years ago)
  • Expiry Date: 06/02/2009 (almost 16 years ago)

LOCATIONS

A Address

224 NORTH 33 AVE APT 1 YAKIMA WA 98902-2373