BASTIAN DOMAJNKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117665

License Status

NOT RENEWED

Business

Title

First Name

BASTIAN

Last Name

DOMAJNKO

Business Name

BASTIAN DOMAJNKO MD

Original Issue Date

02/21/2007

Effective Date

02/21/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008