DIVINA LASALA NOBLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

DIVINA LASALA

Last Name

NOBLE

Suffix

Business Name

DIVINA LASALA NOBLE MD

Original Issue Date

01/01/1997

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011

Case Number

1988000120

Action

Probation

Discipline Start Date

07/15/1998

Discipline End Date

07/14/1999

Discipline Reason

License restored on probation.