DIANA KERATISHVILI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082773

License Status

ACTIVE

Business

Title

First Name

DIANA

Last Name

KERATISHVILI

Business Name

DIANA KERATISHVILI MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/26/2024