CHRISTINA M DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

DIAZ

Suffix

Business Name

CHRISTINA M DIAZ MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/31/1993

City

SAINT LOUIS

State

Zip

63136

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006