ENYA S DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057834

License Status

NOT RENEWED

Business

First Name

ENYA S

Last Name

DIAZ

Suffix

Business Name

ENYA S DIAZ MD

Original Issue Date

09/15/1978

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SHREVEPORT

State

Zip

71106

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/11/2007

Case Number

2006003732

Action

Suspension

Discipline Start Date

10/11/2007

Discipline Reason

for failure to complete required continuing medical education and for misrepresenting this fact on 2005 renewal application.