DIANE B CHANEY - Medical Doctor License in Illinois | # 125021109

DIANE B CHANEY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021109

License Status

EXPIRED

Business

N

First Name

DIANE B

Last Name

CHANEY

Business Name

DIANE B CHANEY

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/23/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006