OMAR DIAZ 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

Title

First Name

OMAR

Last Name

DIAZ

Business Name

OMAR DIAZ MD

Original Issue Date

06/24/2021

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023