DIANE WASHINGTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022717

License Status

EXPIRED

Business

First Name

DIANE

Last Name

WASHINGTON

Business Name

DIANE WASHINGTON

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006