MATTHEW WILLIAM DIEHL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062368

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

WILLIAM

Last Name

DIEHL

Business Name

MATTHEW WILLIAM DIEHL MD

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

07/02/2015

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015