MAGALI DOMINIQUE MARIE JEAN-LOUIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

MAGALI DOMINIQUE

Middle

MARIE

Last Name

JEAN-LOUIS

Suffix

Business Name

MAGALI DOMINIQUE MARIE JEAN-LOUIS MD

Original Issue Date

10/13/2004

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023