DIANA SOPHIA KOLETTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152261

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

SOPHIA

Last Name

KOLETTIS

Suffix

Business Name

DIANA SOPHIA KOLETTIS MD

Original Issue Date

03/20/2020

Effective Date

03/20/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023