DIANA THANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115007

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

THANT

Suffix

Business Name

DIANA THANT MD

Original Issue Date

12/16/2005

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011