JOHN M DOMANICO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

JOHN M

Last Name

DOMANICO

Business Name

JOHN M DOMANICO

Original Issue Date

08/06/1982

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024