DIANE L ALTKORN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

ALTKORN

Business Name

DIANE L ALTKORN

Original Issue Date

09/08/1983

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023