DIANE JENNIFER SANTORINEOS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

DIANE

Middle

JENNIFER

Last Name

SANTORINEOS

Business Name

DIANE JENNIFER SANTORINEOS

Original Issue Date

05/12/2006

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023