DIANE L FINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094041

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

FINE

Suffix

Business Name

DIANE L FINE MD

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006