DIANA LUZ DAVID MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075366

License Status

EXPIRED

Business

Title

First Name

DIANA

Middle

LUZ

Last Name

DAVID

Business Name

DIANA LUZ DAVID MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024