DIANNA W BROGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

DIANNA W

Last Name

BROGAN

Suffix

Business Name

DIANNA W BROGAN MD

Original Issue Date

06/13/1997

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023