PEDRO R MASTRODOMENICO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048835

License Status

EXPIRED

Business

First Name

PEDRO

Middle

Last Name

MASTRODOMENICO

Suffix

Business Name

PEDRO R MASTRODOMENICO MD

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

11/14/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Transplantation Surgery

Ever Disciplined

LastModifiedDate

01/26/2007