EDWARD J DOMINA JR DDS Dentist License verification

EDWARD J DOMINA JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015355

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

DOMINA JR

Suffix

DDS

Business Name

EDWARD J DOMINA JR DDS

Original Issue Date

10/07/1975

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

1997003537

Action

Probation

Discipline Start Date

08/12/1998

Discipline End Date

08/11/2000

Discipline Reason

Allegedly self-prescribing Vicodin ES, a Schedule III controlled substance, for purposes beyond the scope of the practice of dentistry, and failing to adequately maintain patient records.