LAWRENCE A DIDOMENICO DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004202

License Status

ACTIVE

Business

First Name

LAWRENCE A

Last Name

DIDOMENICO

Suffix

DPM

Business Name

LAWRENCE A DIDOMENICO DPM

Original Issue Date

11/14/1987

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2024