GIAN ESTEBAN DIAZ RODRIGUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

GIAN

Middle

ESTEBAN

Last Name

DIAZ RODRIGUEZ

Business Name

GIAN ESTEBAN DIAZ RODRIGUEZ MD

Original Issue Date

04/08/2019

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2023