DAVID F DIDOMENICO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088344

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

DIDOMENICO

Business Name

DAVID F DIDOMENICO MD

Original Issue Date

04/27/1994

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/13/2023