Gina Michele Domm

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****40

Status

Expired (Not Renewed)

First issued

June 28, 2011

Expired

September 30, 2012

License holder

Gina Michele Domm

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty

Practitioner

Controlled substance schedules

II III IV V

Current term began

06/28/2011

Other Illinois licenses under this name

• IL
  Gina Michele Domm

  License 019028701

  Licensed Dentist (Dental)
  Expired

  San Antonio, TX

  Expired Sep 30, 2018

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