ZACHARY BECK DOMONT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055891

License Status

EXPIRED

Business

Title

First Name

ZACHARY

Middle

BECK

Last Name

DOMONT

Business Name

ZACHARY BECK DOMONT MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/08/2010