DIANE DIMAGGIO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012328

License Status

EXPIRED

Business

First Name

DIANE

Last Name

DIMAGGIO

Business Name

DIANE DIMAGGIO

Original Issue Date

05/26/1981

Effective Date

05/26/1981

Expiration Date

06/22/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006