MONIQUE NORMA DIAZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052851

License Status

EXPIRED

Business

First Name

MONIQUE

Middle

NORMA

Last Name

DIAZ

Suffix

Business Name

MONIQUE NORMA DIAZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

07/30/2011

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

09/30/2011