JOHN MICHAEL DIVERIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JOHN MICHAEL

Last Name

DIVERIS

Suffix

Business Name

JOHN MICHAEL DIVERIS MD

Original Issue Date

09/09/1982

Effective Date

09/09/1982

Expiration Date

07/31/1990

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006