DIANA LONDONO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063912

License Status

EXPIRED

Business

Title

First Name

DIANA

Last Name

LONDONO

Business Name

DIANA LONDONO MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/19/2017