DOMINIC C IMBURGIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012918

License Status

EXPIRED

Business

First Name

DOMINIC C

Last Name

IMBURGIA

Suffix

Business Name

DOMINIC C IMBURGIA MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006