HOMER M DIADULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021352

License Status

EXPIRED

Business

First Name

HOMER M

Last Name

DIADULA

Suffix

Business Name

HOMER M DIADULA MD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

11/04/1991

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/18/2009