License holder summary

Raul Ponla Dominguiano is a Medical Residency Permit licensed to practice in Indiana. The address on file for Raul Ponla Dominguiano is Newburgh IN 47630. This licensed professional license is not current. The license was granted 06/03/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Raul Ponla Dominguiano
Medical Residency Permit
License number
11012179A
Date granted
06/03/2004
Date expires
06/30/2007
Class
Medical Residency Permit
Status
Expired
Address
Newburgh IN 47630
indianalicensing.org
ID 5992490
LAST UPDATED 2026-04-12 16:15:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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