TERRENCE P DIAMOND 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

TERRENCE P

Last Name

DIAMOND

Suffix

Business Name

TERRENCE P DIAMOND MD

Original Issue Date

12/15/1983

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023