DIANA THAO VI TRAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

THAO VI

Last Name

TRAN

Business Name

DIANA THAO VI TRAN MD

Original Issue Date

02/22/2024

Effective Date

02/22/2024

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2024