DIANNA W BROGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031472

License Status

EXPIRED

Business

First Name

DIANNA W

Last Name

BROGAN

Suffix

Business Name

DIANNA W BROGAN MD

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006