BONNIE ANN DIEP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

BONNIE

Middle

ANN

Last Name

DIEP

Business Name

BONNIE ANN DIEP MD

Original Issue Date

02/18/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023