DIANA TREW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074921

License Status

CANCELLED

Business

Title

First Name

DIANA

Last Name

TREW

Business Name

DIANA TREW MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/09/2019