DIANA ELIZABETH ALANIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

DIANA

Middle

ELIZABETH

Last Name

ALANIS

Business Name

DIANA ELIZABETH ALANIS

Original Issue Date

07/15/2003

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023