LUCERO DIAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

LUCERO

Last Name

DIAZ

Business Name

LUCERO DIAZ MD

Original Issue Date

06/05/2025

Effective Date

06/05/2025

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2025