AARON B DOMM Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

AARON

Middle

Last Name

DOMM

Business Name

AARON B DOMM

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006