AILEEN HELEN DIEHL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

AILEEN HELEN

Last Name

DIEHL

Suffix

Business Name

AILEEN HELEN DIEHL MD

Original Issue Date

01/01/1997

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

POLO

State

Zip

61064

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023