KEVIN RAY SANTIAGO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033868

License Status

ACTIVE

Business

Title

DMD

First Name

KEVIN

Middle

RAY

Last Name

SANTIAGO

Business Name

KEVIN RAY SANTIAGO DMD

Original Issue Date

06/29/2022

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60586

Ever Disciplined

LastModifiedDate

08/05/2024