MONIQUE NORMA DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

MONIQUE

Middle

NORMA

Last Name

DIAZ

Suffix

Business Name

MONIQUE NORMA DIAZ MD

Original Issue Date

01/13/2012

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021