DIANA I DOLL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025213

License Status

EXPIRED

Business

First Name

DIANA I

Last Name

DOLL

Suffix

Business Name

DIANA I DOLL MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/24/1993

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006