THEODHOR DIAMANTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

THEODHOR

Last Name

DIAMANTI

Suffix

Business Name

THEODHOR DIAMANTI MD

Original Issue Date

05/21/2007

Effective Date

05/21/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2008