DIANA KATHERINE BOWEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

DIANA

Middle

KATHERINE

Last Name

BOWEN

Business Name

DIANA KATHERINE BOWEN MD

Original Issue Date

07/31/2014

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021