JOSE M DOMINGUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023837

License Status

EXPIRED

Business

First Name

JOSE M

Last Name

DOMINGUEZ

Suffix

Business Name

JOSE M DOMINGUEZ MD

Original Issue Date

05/17/1989

Effective Date

05/17/1989

Expiration Date

06/26/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006