DIANA VALERY FALTUSHANSKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

DIANA

Middle

VALERY

Last Name

FALTUSHANSKY

Suffix

Business Name

DIANA VALERY FALTUSHANSKY MD

Original Issue Date

04/02/2009

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023