DIANDRA MARIE LUCIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071060

License Status

CANCELLED

Business

Title

First Name

DIANDRA

Middle

MARIE

Last Name

LUCIA

Business Name

DIANDRA MARIE LUCIA MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/24/2017