DANIA DIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

DANIA

Last Name

DIA

Business Name

DANIA DIA MD

Original Issue Date

06/16/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CANYON COUNTRY

State

Zip

91387

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021