DIANE LAWSON MARTINEZ 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

DIANE LAWSON

Last Name

MARTINEZ

Business Name

DIANE LAWSON MARTINEZ

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020