NOEL FERNANDO GRANDAS DIAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

NOEL

Middle

FERNANDO

Last Name

GRANDAS DIAZ

Suffix

Business Name

NOEL FERNANDO GRANDAS DIAZ MD

Original Issue Date

05/16/2005

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

MCKINNEY

State

Zip

75069

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023