MARK C DIAMOND MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****52

NOT RENEWED

N

MD

MARK

C

DIAMOND

MARK C DIAMOND MD

07/02/2015

06/21/2017

09/30/2020

BLOOMFIELD HILLS

MI

48302

MICHIGAN

PRACTITIONER

IV

N

01/14/2021