STEVEN E DIEBOLD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025250

License Status

EXPIRED

Business

First Name

STEVEN E

Last Name

DIEBOLD

Suffix

Business Name

STEVEN E DIEBOLD MD

Original Issue Date

05/29/1990

Effective Date

05/29/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006