DIANE B CHANEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021109

License Status

EXPIRED

Business

First Name

DIANE B

Last Name

CHANEY

Business Name

DIANE B CHANEY

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006