MA CORAZON DELLO DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MA CORAZON DELLO

Last Name

DIAZ

Suffix

Business Name

MA CORAZON DELLO DIAZ MD

Original Issue Date

06/15/1990

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020