DIANA NATHALIE ANDINO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072050

License Status

EXPIRED

Business

Title

First Name

DIANA

Middle

NATHALIE

Last Name

ANDINO

Business Name

DIANA NATHALIE ANDINO MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022