ANTHONY DON DIAZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045944

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

DON

Last Name

DIAZ

Suffix

Business Name

ANTHONY DON DIAZ DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006