HENRY A DOMINICIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021110

License Status

EXPIRED

Business

First Name

HENRY A

Last Name

DOMINICIS

Business Name

HENRY A DOMINICIS

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006