JAIME DIANE NOVALES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

JAIME

Middle

DIANE

Last Name

NOVALES

Business Name

JAIME DIANE NOVALES MD

Original Issue Date

07/15/2009

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023