License holder summary

PEDRO R DOMINGUEZ is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PEDRO R DOMINGUEZ is tri state neurosurgical, inc., 350 W COLUMBIA STE 350, EVANSVILLE IN 47710. This licensed professional license is current. The license was granted 01/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

PEDRO R DOMINGUEZ
Controlled Substance Registration - Physician
License number
01029742B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
tri state neurosurgical, inc., 350 W COLUMBIA STE 350, EVANSVILLE IN 47710
indianalicensing.org
ID 5850828
LAST UPDATED 2024-02-23 15:30:47 UTC

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