RENEE S DOMANICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

RENEE S

Last Name

DOMANICO

Suffix

Business Name

RENEE S DOMANICO MD

Original Issue Date

08/09/1991

Effective Date

08/09/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006