JONATHAN D DIAZ DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011132

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

DIAZ

Suffix

Business Name

JONATHAN D DIAZ DC

Original Issue Date

02/19/2008

Effective Date

09/02/2008

Expiration Date

07/31/2011

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

11/10/2011