JOSE M DOMINGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084544

License Status

NOT RENEWED

Business

First Name

JOSE M

Last Name

DOMINGUEZ

Suffix

Business Name

JOSE M DOMINGUEZ MD

Original Issue Date

06/11/1992

Effective Date

06/11/1992

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006