PAMELA S DIAZ 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

PAMELA S

Last Name

DIAZ

Suffix

Business Name

PAMELA S DIAZ MD

Original Issue Date

10/11/1988

Effective Date

10/11/1988

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011