EDWARD CHARLES DIEHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044924

License Status

NOT RENEWED

Business

First Name

EDWARD CHARLES

Last Name

DIEHL

Suffix

Business Name

EDWARD CHARLES DIEHL MD

Original Issue Date

10/08/1971

Effective Date

10/08/1971

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006