DOMINIQUE PATAROQUE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001682

License Status

ACTIVE

Business

First Name

DOMINIQUE

Last Name

PATAROQUE

Business Name

DOMINIQUE PATAROQUE

Original Issue Date

12/01/2025

Effective Date

12/01/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/01/2025