DIAMOND DONALD DETTORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039227

License Status

NOT RENEWED

Business

First Name

DIAMOND DONALD

Last Name

DETTORE

Suffix

Business Name

DIAMOND DONALD DETTORE MD

Original Issue Date

08/17/1964

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023