DIAMOND DONALD DETTORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

DIAMOND DONALD

Last Name

DETTORE

Suffix

Business Name

DIAMOND DONALD DETTORE MD

Original Issue Date

01/01/1997

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

LA GRANGE

State

Zip

60525

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023