DIOTOKO KIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

DIOTOKO

Last Name

KIAM

Suffix

Business Name

DIOTOKO KIAM MD

Original Issue Date

01/19/1984

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

SKOKIE

State

Zip

60677

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017