The holder whose full name is Imburgia, Dominic Charles,come from Effingham IL,hold the Physician license(NO.01061608A) which status is Active.
| Name | Imburgia, Dominic Charles |
|---|---|
| License Number | 01061608A |
| License Type | Physician |
| License Status | Active |
| City | Effingham |
| State | IL |