DIANA BORISOVNA ILINSKIY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053672

License Status

EXPIRED

Business

Title

First Name

DIANA

Middle

BORISOVNA

Last Name

ILINSKIY

Business Name

DIANA BORISOVNA ILINSKIY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010