HOMER M DIADULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

HOMER M

Last Name

DIADULA

Suffix

Business Name

HOMER M DIADULA MD

Original Issue Date

06/12/1991

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023