NATASHA E DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

Last Name

DIAZ

Suffix

Business Name

NATASHA E DIAZ MD

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020