DAVID F DIDOMENICO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026430

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

Last Name

DIDOMENICO

Business Name

DAVID F DIDOMENICO MD

Original Issue Date

05/06/1991

Effective Date

05/06/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006