JUAN C DOMINGUEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098711

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

DOMINGUEZ

Business Name

JUAN C DOMINGUEZ

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62526

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006