KATHLEEN M DOMINGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146280

License Status

ACTIVE

Business

Title

First Name

KATHLEEN

Middle

Last Name

DOMINGUEZ

Business Name

KATHLEEN M DOMINGUEZ MD

Original Issue Date

05/23/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/06/2023