GELENIS C DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132324

License Status

NOT RENEWED

Business

First Name

GELENIS

Middle

Last Name

DOMINGO

Suffix

Business Name

GELENIS C DOMINGO MD

Original Issue Date

04/09/2013

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017