DIANA LESLIE GEISSER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138070

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

LESLIE

Last Name

GEISSER

Business Name

DIANA LESLIE GEISSER MD

Original Issue Date

05/26/2015

Effective Date

05/09/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021