CARLOS ANDRES DIAZ DEL VALLE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086991

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

ANDRES

Last Name

DIAZ DEL VALLE

Business Name

CARLOS ANDRES DIAZ DEL VALLE DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/27/2025