PETER HERBERT DOMER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084730

License Status

INACTIVE

Business

First Name

PETER HERBERT

Last Name

DOMER

Suffix

Business Name

PETER HERBERT DOMER MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/2005

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006