JOHN R DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054390

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

DIAZ

Suffix

Business Name

JOHN R DIAZ MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1984

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006