DOMINIC JOSEPH ANTONACCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165774

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

JOSEPH

Last Name

ANTONACCI

Business Name

DOMINIC JOSEPH ANTONACCI MD

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023