RAFAEL ROBERTO DOMINGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112018

License Status

ACTIVE

Business

First Name

RAFAEL

Middle

ROBERTO

Last Name

DOMINGUEZ

Suffix

Business Name

RAFAEL ROBERTO DOMINGUEZ MD

Original Issue Date

08/03/2004

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2023