DIANE ALKATOUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078864

License Status

CANCELLED

Business

Title

First Name

DIANE

Last Name

ALKATOUT

Business Name

DIANE ALKATOUT MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

01/16/2025

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/17/2025