JOSE L DOMINGUEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024188

License Status

EXPIRED

Business

First Name

JOSE L

Last Name

DOMINGUEZ

Suffix

Business Name

JOSE L DOMINGUEZ MD

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006