DIANA MARTA FATYGA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065916

License Status

CANCELLED

Business

Title

First Name

DIANA

Middle

MARTA

Last Name

FATYGA

Business Name

DIANA MARTA FATYGA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

EVANSTON

State

Zip

60202

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2014