DEEPAK P DALIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DEEPAK P

Last Name

DALIA

Suffix

Business Name

DEEPAK P DALIA MD

Original Issue Date

04/26/1982

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020