ALEJANDRO ABEL DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

ALEJANDRO

Middle

ABEL

Last Name

DIAZ

Suffix

Business Name

ALEJANDRO ABEL DIAZ MD

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008