CARMINA AMOR TAN DOMINGO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159001

License Status

ACTIVE

Business

Title

First Name

CARMINA

Middle

AMOR TAN

Last Name

DOMINGO

Business Name

CARMINA AMOR TAN DOMINGO DO

Original Issue Date

12/15/2021

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/06/2023