DIANA GUILLAUME MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078974

License Status

EXPIRED

Business

Title

First Name

DIANA

Last Name

GUILLAUME

Business Name

DIANA GUILLAUME MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024