DOMINIC LOUIS RICCIARDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112057

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

LOUIS

Last Name

RICCIARDI

Suffix

Business Name

DOMINIC LOUIS RICCIARDI MD

Original Issue Date

08/09/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/06/2008