DIEGO MARIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070499

License Status

CANCELLED

Business

Title

First Name

DIEGO

Last Name

MARIN

Business Name

DIEGO MARIN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

NORTHBROOK

State

Zip

60062

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/19/2017