EMANUEL DIAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052196

License Status

CANCELLED

Business

First Name

EMANUEL

Last Name

DIAZ

Suffix

Business Name

EMANUEL DIAZ MD

Original Issue Date

11/01/2006

Effective Date

11/01/2006

Expiration Date

10/31/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/31/2006