DIANNE A DE LEON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060881

License Status

EXPIRED

Business

First Name

DIANNE

Middle

Last Name

DE LEON

Suffix

Business Name

DIANNE A DE LEON MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013