IVAN DIAZ MD
Licensed Physician Controlled Substance
Illinois 336072495 Canceled
This Illinois license was held by IVAN DIAZ MD. The license is no longer active. It was granted on 06/28/2004 and expired on 07/31/2008
LICENSE DETAILS
- License Number: 336072495
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 06/28/2004 (almost 20 years ago)
- Expiry Date: 07/31/2008 (over 15 years ago)
LOCATIONS
A Address
BELVIDERE, IL 61008