License holder summary

Dr. JAIME DAVID DOMINGUEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JAIME DAVID DOMINGUEZ is 3408 W PENINSULA DR MOSES LAKE WA 98837. This licensed professional license is current. The license was granted 06/15/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. JAIME DAVID DOMINGUEZ
Board Of Medicine
License number
M-11339
Date granted
06/15/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3408 W PENINSULA DR MOSES LAKE WA 98837
idaholicensing.com
ID 48345542
LAST UPDATED 2024-02-25 04:18:06 UTC

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