GABRIEL EDWARDO DIAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

GABRIEL

Middle

EDWARDO

Last Name

DIAZ

Business Name

GABRIEL EDWARDO DIAZ MD

Original Issue Date

06/15/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023