MARIA J QUINTANILLA-DIECK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

MARIA

Middle

Last Name

QUINTANILLA-DIECK

Business Name

MARIA J QUINTANILLA-DIECK MD

Original Issue Date

05/20/2021

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023