OSCAR DANIEL DOMINGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084308

License Status

ACTIVE

Business

Title

First Name

OSCAR

Middle

DANIEL

Last Name

DOMINGUEZ

Business Name

OSCAR DANIEL DOMINGUEZ MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/03/2024