DIANE M TATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042759

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

TATE

Suffix

Business Name

DIANE M TATE MD

Original Issue Date

08/08/1969

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023