M DOMINGUEZ JR MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618263

License Status

NOT RENEWED

Business

Business Name

M DOMINGUEZ JR MD SC

Original Issue Date

06/04/2004

Effective Date

02/08/2011

Expiration Date

01/01/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/22/2012