KENNETH L DIAMOND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

KENNETH L

Last Name

DIAMOND

Suffix

Business Name

KENNETH L DIAMOND MD

Original Issue Date

12/13/1983

Effective Date

12/13/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/13/2023