DOMINADOR D GENIO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066384

License Status

NOT RENEWED

Business

First Name

DOMINADOR D

Last Name

GENIO JR

Suffix

Business Name

DOMINADOR D GENIO JR MD

Original Issue Date

04/13/1983

Effective Date

04/13/1983

Expiration Date

07/31/1996

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006