DIANE V CARUSO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

DIANE V

Last Name

CARUSO

Suffix

DDS

Business Name

DIANE V CARUSO DDS

Original Issue Date

12/15/1987

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024