DOMINADOR D GENIO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

DOMINADOR D

Last Name

GENIO JR

Suffix

Business Name

DOMINADOR D GENIO JR MD

Original Issue Date

11/21/1983

Effective Date

11/21/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006