ANTHONY CENIZA DOMINGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

CENIZA

Last Name

DOMINGO

Suffix

Business Name

ANTHONY CENIZA DOMINGO MD

Original Issue Date

08/12/2015

Effective Date

08/12/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017