DIANE G RAPAPORT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

DIANE G

Last Name

RAPAPORT

Business Name

DIANE G RAPAPORT

Original Issue Date

03/01/1983

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023