DOMINIQUE KATHRYN FONS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127508

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

KATHRYN

Last Name

FONS

Suffix

Business Name

DOMINIQUE KATHRYN FONS MD

Original Issue Date

04/11/2011

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

04/29/2023