ROSE DIAKOS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

ROSE

Last Name

DIAKOS

Business Name

ROSE DIAKOS

Original Issue Date

04/04/1991

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

DEERFIELD

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021