DIOTOKO KIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

DIOTOKO

Last Name

KIAM

Suffix

Business Name

DIOTOKO KIAM MD

Original Issue Date

05/11/2005

Effective Date

05/15/2009

Expiration Date

07/31/2011

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017