DOMINICK MICHAEL MARTINICO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082424

License Status

ACTIVE

Business

Title

First Name

DOMINICK

Middle

MICHAEL

Last Name

MARTINICO

Business Name

DOMINICK MICHAEL MARTINICO MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/15/2023