ALAIN LESAGE FONDJO DOMKAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114168

License Status

NOT RENEWED

Business

First Name

ALAIN LESAGE

Middle

FONDJO

Last Name

DOMKAM

Suffix

Business Name

ALAIN LESAGE FONDJO DOMKAM MD

Original Issue Date

07/13/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008