ILYSA R DIAMOND DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

ILYSA

Middle

Last Name

DIAMOND

Business Name

ILYSA R DIAMOND DO

Original Issue Date

04/18/2013

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023