DIANA T ATASHROO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

ATASHROO

Suffix

Business Name

DIANA T ATASHROO MD

Original Issue Date

07/05/2013

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021