ROBERTO F DIAZ 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

ROBERTO F

Last Name

DIAZ

Business Name

ROBERTO F DIAZ

Original Issue Date

01/10/1995

Effective Date

01/10/1995

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017