DIANA VALERY FALTUSHANSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051845

License Status

CANCELLED

Business

First Name

DIANA

Middle

VALERY

Last Name

FALTUSHANSKY

Suffix

Business Name

DIANA VALERY FALTUSHANSKY MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006