DIANNE A DE LEON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158125

License Status

ACTIVE

Business

First Name

DIANNE

Middle

Last Name

DE LEON

Suffix

Business Name

DIANNE A DE LEON MD

Original Issue Date

08/25/2021

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

Ever Disciplined

LastModifiedDate

07/11/2023