VIRGINIA MARIA DIAVOLITSIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050746

License Status

CANCELLED

Business

First Name

VIRGINIA

Middle

MARIA

Last Name

DIAVOLITSIS

Suffix

Business Name

VIRGINIA MARIA DIAVOLITSIS MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

05/08/2007