DIANE CHIAYING SHIH-DELLA PENNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049161

License Status

EXPIRED

Business

Title

First Name

DIANE

Middle

CHIAYING

Last Name

SHIH-DELLA PENNA

Business Name

DIANE CHIAYING SHIH-DELLA PENNA MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006