RENEE S DOMANICO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022714

License Status

EXPIRED

Business

First Name

RENEE S

Last Name

DOMANICO

Suffix

Business Name

RENEE S DOMANICO MD

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006