Thomas Dominik
Medical - Physician Assistant
Minnesota 8859 Inactive
This Minnesota license was held by Thomas Dominik. The license is no longer active. It was granted on 11/21/1987 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 8859
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 11/21/1987 (over 37 years ago)
- Expiry Date: 06/30/2013 (about 12 years ago)
LOCATIONS
A Licensure Designated Address
PO Box 147, Onamia, MN 56359