LUIS A DOMINGUEZ Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

ACTIVE

Business

First Name

LUIS

Middle

Last Name

DOMINGUEZ

Business Name

LUIS A DOMINGUEZ

Original Issue Date

11/02/2007

Effective Date

03/25/2026

Expiration Date

03/31/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/25/2026