MARK W DIAMOND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023234

License Status

EXPIRED

Business

First Name

MARK W

Last Name

DIAMOND

Business Name

MARK W DIAMOND

Original Issue Date

03/03/1989

Effective Date

03/03/1989

Expiration Date

03/01/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006