OMAR LATIMER DOMINIQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

LATIMER

Last Name

DOMINIQUE

Business Name

OMAR LATIMER DOMINIQUE MD

Original Issue Date

12/20/2017

Effective Date

08/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60620

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2023