DIANA KATHERINE BOWEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057400

License Status

CANCELLED

Business

Title

First Name

DIANA

Middle

KATHERINE

Last Name

BOWEN

Business Name

DIANA KATHERINE BOWEN MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014