DIANA CANINO BOTTARI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050851

License Status

EXPIRED

Business

Title

First Name

DIANA

Middle

CANINO

Last Name

BOTTARI

Business Name

DIANA CANINO BOTTARI DO

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

06/28/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009