DOMINADOR FREDRICK P CARIASO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103381

License Status

NOT RENEWED

Business

First Name

DOMINADOR

Middle

FREDRICK P

Last Name

CARIASO

Suffix

Business Name

DOMINADOR FREDRICK P CARIASO MD

Original Issue Date

08/30/2000

Effective Date

08/30/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2008