DOMENIC ANDREW DIBARTOLOMEO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

DOMENIC

Middle

ANDREW

Last Name

DIBARTOLOMEO

Business Name

DOMENIC ANDREW DIBARTOLOMEO MD

Original Issue Date

10/31/2014

Effective Date

10/31/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020