MARK D DIAMOND DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030120

License Status

EXPIRED

Business

First Name

MARK D

Last Name

DIAMOND

Suffix

Business Name

MARK D DIAMOND DO

Original Issue Date

06/04/1993

Effective Date

06/04/1993

Expiration Date

06/30/1995

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006