HENRY A DOMINICIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

HENRY A

Last Name

DOMINICIS

Business Name

HENRY A DOMINICIS

Original Issue Date

02/09/1989

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021