JOSE A DIAZ JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077861

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

Last Name

DIAZ

Suffix

Business Name

JOSE A DIAZ JR MD

Original Issue Date

09/13/1988

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

06/05/2023