DIANA L SHRADER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

DIANA L

Last Name

SHRADER

Suffix

Business Name

DIANA L SHRADER MD

Original Issue Date

05/13/1994

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023