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| Physician Records |
| Physician Last Name: | Dominique | |||
| Physician First Name: | Jean | |||
| Physician Middle Name: | C. | |||
| Address: | 27035 Laurel Chase Lane West Chapel, Florida 33543 | |||
| License Number: | 143125 | |||
| License Type: | MD | |||
| Year of Birth: | 1947 | |||
| Effective Date: | 11/07/2006 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in United States District Court, Middle District of Florida, Orlando Division of Conspiracy to Possess with Intent to Distribute Hydrocodone. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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