License holder summary

MaryAnn Reynante Domingo is a Physician licensed to practice in Indiana. The address on file for MaryAnn Reynante Domingo is Granger IN 46530. This licensed professional license is current. The license was granted 09/23/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MaryAnn Reynante Domingo
Physician
License number
01061323A
Date granted
09/23/2005
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Granger IN 46530
indianalicensing.org
ID 6057369
LAST UPDATED 2026-03-25 01:13:09 UTC

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