ANA C DOMINGUES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101769

License Status

NOT RENEWED

Business

First Name

ANA

Middle

Last Name

DOMINGUES

Business Name

ANA C DOMINGUES

Original Issue Date

01/03/2000

Effective Date

01/03/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006