DIANA LOPEZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003464

License Status

ACTIVE

Business

Title

DMD

First Name

DIANA

Last Name

LOPEZ

Business Name

DIANA LOPEZ DMD

Original Issue Date

08/13/2025

Effective Date

08/13/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

LastModifiedDate

08/13/2025