AIDNAG ZAID DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

AIDNAG

Middle

ZAID

Last Name

DIAZ

Suffix

Business Name

AIDNAG ZAID DIAZ MD

Original Issue Date

12/06/2004

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021