ROBERTO F DIAZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027643

License Status

EXPIRED

Business

First Name

ROBERTO F

Last Name

DIAZ

Business Name

ROBERTO F DIAZ

Original Issue Date

03/31/1992

Effective Date

03/31/1992

Expiration Date

03/29/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006