MARTHA E DIAZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026605

License Status

ACTIVE

Business

First Name

MARTHA

Middle

Last Name

DIAZ

Suffix

DDS

Business Name

MARTHA E DIAZ DDS

Original Issue Date

10/05/2004

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/04/2024