DOMENICO ASCENZIO JOHN FARINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149120

License Status

ACTIVE

Business

Title

First Name

DOMENICO

Middle

ASCENZIO JOHN

Last Name

FARINA

Business Name

DOMENICO ASCENZIO JOHN FARINA MD

Original Issue Date

04/20/2019

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/30/2023