MAZEN DIAB MD
Temporary Medical Permit
Illinois 125060359 Canceled
This Illinois license was held by MAZEN DIAB MD. The license is no longer active. It was granted on 06/17/2011 and expired on 06/23/2014
LICENSE DETAILS
- License Number: 125060359
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 06/17/2011 (almost 13 years ago)
- Expiry Date: 06/23/2014 (almost 10 years ago)
LOCATIONS
A Address
Alsip, IL 60803-3362