RAND DIAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

RAND

Last Name

DIAB

Suffix

Business Name

RAND DIAB MD

Original Issue Date

09/23/2008

Effective Date

09/23/2008

Expiration Date

07/31/2011

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/10/2011