MAGALI DOMINIQUE MARIE JEAN-LOUIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112506

License Status

ACTIVE

Business

First Name

MAGALI DOMINIQUE

Middle

MARIE

Last Name

JEAN-LOUIS

Suffix

Business Name

MAGALI DOMINIQUE MARIE JEAN-LOUIS MD

Original Issue Date

10/13/2004

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/19/2023