GERARD DOMINIQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040197

License Status

NOT RENEWED

Business

First Name

GERARD

Last Name

DOMINIQUE

Suffix

Business Name

GERARD DOMINIQUE MD

Original Issue Date

03/02/1966

Effective Date

03/02/1966

Expiration Date

07/31/2005

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006