DIANA MANIEV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

DIANA

Last Name

MANIEV

Business Name

DIANA MANIEV MD

Original Issue Date

03/21/2017

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

ROUND LAKE BEACH

State

Zip

60073

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023