MANUEL G DOMINGUEZ JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

MANUEL

Middle

Last Name

DOMINGUEZ JR

Business Name

MANUEL G DOMINGUEZ JR MD

Original Issue Date

05/17/1994

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023