AARON MICHAEL DOMACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070480

License Status

EXPIRED

Business

Title

First Name

AARON

Middle

MICHAEL

Last Name

DOMACK

Business Name

AARON MICHAEL DOMACK MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022