License Directory

Jerome Taymon Domzalski

Expired

California license A113976

License

Licensed by
Medical Board of California
License number
A113976
Status
Expired (Delinquent)
First issued
September 10, 2010
Expired
May 31, 2026
License holder
Jerome Taymon Domzalski
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

111 Oakwood Road
East Peoria, IL 61611
Tazewell County