ANA C DOMINGUES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035962

License Status

EXPIRED

Business

First Name

ANA

Middle

Last Name

DOMINGUES

Business Name

ANA C DOMINGUES

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006