DIANA BOLOTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125194

License Status

ACTIVE

Business

First Name

DIANA

Last Name

BOLOTIN

Suffix

Business Name

DIANA BOLOTIN MD

Original Issue Date

03/15/2010

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2023