DIANE M FLERSHEM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031658

License Status

EXPIRED

Business

First Name

DIANE M

Last Name

FLERSHEM

Business Name

DIANE M FLERSHEM

Original Issue Date

06/02/1994

Effective Date

06/02/1994

Expiration Date

01/29/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006