WILLIAM K DOMARAD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047052

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

Last Name

DOMARAD

Business Name

WILLIAM K DOMARAD

Original Issue Date

07/30/2003

Effective Date

07/30/2003

Expiration Date

07/29/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

09/22/2006