VITALIY YURYEVICH DOMASHEVICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038349

License Status

EXPIRED

Business

First Name

VITALIY

Middle

YURYEVICH

Last Name

DOMASHEVICH

Suffix

Business Name

VITALIY YURYEVICH DOMASHEVICH MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006