LISSET DIAZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153304

License Status

ACTIVE

Business

Title

First Name

LISSET

Last Name

DIAZ

Business Name

LISSET DIAZ DO

Original Issue Date

06/09/2020

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

VALRICO

State

Zip

33596

Ever Disciplined

LastModifiedDate

04/28/2023