DIANE MARIE MISCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022148

License Status

CANCELLED

Business

First Name

DIANE

Middle

MARIE

Last Name

MISCH

Suffix

Business Name

DIANE MARIE MISCH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006