ELIEZER ANDREW DIAZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086198

License Status

ACTIVE

Business

Title

First Name

ELIEZER

Middle

ANDREW

Last Name

DIAZ

Business Name

ELIEZER ANDREW DIAZ DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/03/2025