DIANE GOMEZ DAHMER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

DIANE GOMEZ

Last Name

DAHMER

Business Name

DIANE GOMEZ DAHMER

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011