DIANA ATENA CHICOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

DIANA

Middle

ATENA

Last Name

CHICOS

Suffix

Business Name

DIANA ATENA CHICOS MD

Original Issue Date

08/28/2003

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023