DOMINGO C BARRIENTOS - Medical Doctor License in Illinois | # 125027286

DOMINGO C BARRIENTOS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027286

License Status

EXPIRED

Business

N

First Name

DOMINGO

Middle

C

Last Name

BARRIENTOS

Business Name

DOMINGO C BARRIENTOS

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006