DIANA LISSETTE MONDRAGON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016061

License Status

ACTIVE

Business

First Name

DIANA

Middle

LISSETTE

Last Name

MONDRAGON

Business Name

DIANA LISSETTE MONDRAGON

Original Issue Date

01/31/2018

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2024