DIANE K SIERENS MD 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

Middle

Last Name

SIERENS

Suffix

Business Name

DIANE K SIERENS MD

Original Issue Date

06/09/2000

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023