RAND DIAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121982

License Status

NOT RENEWED

Business

First Name

RAND

Last Name

DIAB

Suffix

Business Name

RAND DIAB MD

Original Issue Date

09/22/2008

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014