LISSET DIAZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

LISSET

Last Name

DIAZ

Business Name

LISSET DIAZ DO

Original Issue Date

12/15/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

VALRICO

State

Zip

33596

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023