ELIZABETH A DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

DIAZ

Suffix

Business Name

ELIZABETH A DIAZ MD

Original Issue Date

11/07/1988

Effective Date

11/07/1988

Expiration Date

07/31/1990

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020