DIANE D FABRIZIUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

DIANE D

Last Name

FABRIZIUS

Suffix

Business Name

DIANE D FABRIZIUS MD

Original Issue Date

10/27/1987

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023