DOMINIC LEE PHEMISTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155060

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

LEE

Last Name

PHEMISTER

Business Name

DOMINIC LEE PHEMISTER MD

Original Issue Date

12/16/2020

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/14/2023