MATTHEW LEE DOMINGUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139077

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

LEE

Last Name

DOMINGUEZ

Business Name

MATTHEW LEE DOMINGUEZ MD

Original Issue Date

09/08/2015

Effective Date

09/08/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017