DOMINIC JOSEPH RICCI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000854

License Status

CANCELLED

Business

First Name

DOMINIC

Middle

JOSEPH

Last Name

RICCI

Suffix

Business Name

DOMINIC JOSEPH RICCI MD

Original Issue Date

11/29/2010

Effective Date

11/29/2010

Expiration Date

12/28/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

11/05/2010