DIANE DIMAGGIO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

DIANE

Last Name

DIMAGGIO

Business Name

DIANE DIMAGGIO

Original Issue Date

08/18/1982

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023