LAWRENCE A DIDOMENICO DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

LAWRENCE A

Last Name

DIDOMENICO

Suffix

DPM

Business Name

LAWRENCE A DIDOMENICO DPM

Original Issue Date

11/16/2019

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025