DIANDRA MARIE LUCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151213

License Status

ACTIVE

Business

Title

First Name

DIANDRA

Middle

MARIE

Last Name

LUCIA

Business Name

DIANDRA MARIE LUCIA MD

Original Issue Date

11/15/2019

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023