License Directory

Edward J Domina Jr Dds

Expired

Illinois license 019015355

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019015355
Status
Expired (Not Renewed)
First issued
October 7, 1975
Expired
September 30, 2018
License holder
Edward J Domina Jr Dds
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
09/30/2015
Ever disciplined
Yes
Discipline case
1998017813
Discipline action
Probation
Discipline reason
Failed to pay Illinois income taxes from 1992 to 1994, the first and fourth quarters of 1996, and the first, second and third quarters of 1997.
Discipline dates
06/02/2001
Discipline case
1997003537
Discipline reason
Allegedly self-prescribing Vicodin ES, a Schedule III controlled substance, for purposes beyond the scope of the practice of dentistry, and failing to adequately maintain patient records.
Discipline dates
08/12/1998 to 08/11/2000

Other Illinois licenses under this name

  • IL
    Edward J Domina Jr Dds
    License 31*****14
    Licensed Dentist Controlled Substance (Dental)
    Suspended
    Tinley Park, IL
    Expired Sep 30, 2000

Contact

Frankfort, IL 60423
Will County