DIANA CAROL MCNULTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103840

License Status

ACTIVE

Business

First Name

DIANA

Middle

CAROL

Last Name

MCNULTY

Suffix

Business Name

DIANA CAROL MCNULTY MD

Original Issue Date

11/21/2000

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

04/13/2023