DIANE LUCIANI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034816

License Status

EXPIRED

Business

First Name

DIANE

Last Name

LUCIANI

Suffix

Business Name

DIANE LUCIANI DO

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

06/20/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006