MARK S DIAS 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

MARK S

Last Name

DIAS

Suffix

Business Name

MARK S DIAS MD

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006