GLORIA ISABEL DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

ISABEL

Last Name

DIAZ

Suffix

Business Name

GLORIA ISABEL DIAZ MD

Original Issue Date

05/31/2000

Effective Date

05/31/2000

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011