RENEE S DOMANICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083001

License Status

NOT RENEWED

Business

First Name

RENEE S

Last Name

DOMANICO

Suffix

Business Name

RENEE S DOMANICO MD

Original Issue Date

07/17/1991

Effective Date

07/17/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006