DIANA J JAIME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099507

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

JAIME

Suffix

Business Name

DIANA J JAIME MD

Original Issue Date

01/14/1999

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021