License holder summary

ALEXANDRA DOMINIK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ALEXANDRA DOMINIK is 1201 OAK STREET, FRANKFORT IN 46041. This licensed professional license is current. The license was granted 09/30/1983 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ALEXANDRA DOMINIK
Controlled Substance Registration - Physician
License number
01028190B
Date granted
09/30/1983
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1201 OAK STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5854974
LAST UPDATED 2024-03-30 06:18:06 UTC

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