ERIN BETH DOMINIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

ERIN

Middle

BETH

Last Name

DOMINIAK

Suffix

Business Name

ERIN BETH DOMINIAK MD

Original Issue Date

06/15/2007

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023