DIANE B WAYNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088171

License Status

ACTIVE

Business

First Name

DIANE

Middle

Last Name

WAYNE

Suffix

Business Name

DIANE B WAYNE MD

Original Issue Date

03/26/1994

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

04/14/2023