M DOMINGUEZ JR MD SC - Medical Corporation License in Illinois | # 042618263

M DOMINGUEZ JR MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618263

License Status

NOT RENEWED

Business

Y

Business Name

M DOMINGUEZ JR MD SC

Original Issue Date

06/04/2004

Effective Date

02/08/2011

Expiration Date

01/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

03/22/2012