DIANA FRANCES BONACCORSI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

FRANCES

Last Name

BONACCORSI

Business Name

DIANA FRANCES BONACCORSI DO

Original Issue Date

06/27/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023