DOMENIC JAMES PULITO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078203

License Status

CANCELLED

Business

Title

First Name

DOMENIC

Middle

JAMES

Last Name

PULITO

Business Name

DOMENIC JAMES PULITO DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/26/2021