ELIZABETH P DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059322

License Status

NOT RENEWED

Business

First Name

ELIZABETH P

Last Name

DIAZ

Suffix

Business Name

ELIZABETH P DIAZ MD

Original Issue Date

08/27/1979

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017