JONATAN DE JESUS VALDEZ DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

JONATAN

Middle

DE JESUS

Last Name

VALDEZ DIAZ

Suffix

Business Name

JONATAN DE JESUS VALDEZ DIAZ MD

Original Issue Date

04/19/2005

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014