DOMINIQUE ANCIAUX Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025817

License Status

EXPIRED

Business

First Name

DOMINIQUE

Last Name

ANCIAUX

Business Name

DOMINIQUE ANCIAUX

Original Issue Date

07/02/1990

Effective Date

07/02/1990

Expiration Date

06/29/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006