JOSE LUIS DIEGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161333

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

LUIS

Last Name

DIEGO

Business Name

JOSE LUIS DIEGO MD

Original Issue Date

07/11/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/16/2023