SUSAN MICHELE DIAMOND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162122

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

MICHELE

Last Name

DIAMOND

Business Name

SUSAN MICHELE DIAMOND MD

Original Issue Date

08/23/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

AUSTIN

State

Zip

78737

Ever Disciplined

LastModifiedDate

05/25/2023