DIANA A DAVID Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103469

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

DAVID

Business Name

DIANA A DAVID

Original Issue Date

09/14/2000

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017