MARK E DOMAAS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

DPM

First Name

MARK

Middle

Last Name

DOMAAS

Business Name

MARK E DOMAAS DPM

Original Issue Date

01/13/2023

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/07/2024