ELIZA DIACONESCU MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

ELIZA

DIACONESCU

MD

ELIZA DIACONESCU MD

07/27/1992

07/27/1992

07/31/1993

GURNEE

IL

60031

LAKE

III IV

N

04/05/2020