DIEGO MARIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

DIEGO

Last Name

MARIN

Business Name

DIEGO MARIN MD

Original Issue Date

08/07/2019

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023