MONIQUE NORMA DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127413

License Status

NOT RENEWED

Business

First Name

MONIQUE

Middle

NORMA

Last Name

DIAZ

Suffix

Business Name

MONIQUE NORMA DIAZ MD

Original Issue Date

03/28/2011

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021