JOSE A DIAZ JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

Last Name

DIAZ

Suffix

Business Name

JOSE A DIAZ JR MD

Original Issue Date

02/21/1989

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023