DIANA OLHA IWANIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

DIANA OLHA

Last Name

IWANIK

Suffix

Business Name

DIANA OLHA IWANIK MD

Original Issue Date

03/28/1988

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023