DIANA SOPHIA KOLETTIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063072

License Status

EXPIRED

Business

First Name

DIANA

Middle

SOPHIA

Last Name

KOLETTIS

Suffix

Business Name

DIANA SOPHIA KOLETTIS MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/19/2017