MOLLY MAXINE DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140538

License Status

NOT RENEWED

Business

Title

First Name

MOLLY

Middle

MAXINE

Last Name

DIAZ

Business Name

MOLLY MAXINE DIAZ MD

Original Issue Date

05/02/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021