DOMINIQUE ANCIAUX - Medical Doctor License in Illinois | # 036086049

DOMINIQUE ANCIAUX

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086049

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Last Name

ANCIAUX

Business Name

DOMINIQUE ANCIAUX

Original Issue Date

05/17/1993

Effective Date

05/17/1993

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006