EMANUEL DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

EMANUEL

Last Name

DIAZ

Suffix

Business Name

EMANUEL DIAZ MD

Original Issue Date

03/19/2009

Effective Date

03/19/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017