EDWARD J DOMINA JR DDS Dentist License verification

EDWARD J DOMINA JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

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

09/09/1985

Effective Date

09/09/1985

Expiration Date

09/30/2000

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005

Case Number

1997003537

Action

Suspension

Discipline Start Date

08/12/1998

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.