MARK D DIAMOND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

MARK D

Last Name

DIAMOND

Suffix

Business Name

MARK D DIAMOND DO

Original Issue Date

08/01/1995

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

LOCKPORT

State

Zip

60441

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023