DIANE CHIAYING SHIH-DELLA PENNA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

CANCELLED

Business

Title

First Name

DIANE

Middle

CHIAYING

Last Name

SHIH-DELLA PENNA

Business Name

DIANE CHIAYING SHIH-DELLA PENNA MD

Original Issue Date

06/01/2011

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014