KEVIN RAY SANTIAGO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

Title

DMD

First Name

KEVIN

Middle

RAY

Last Name

SANTIAGO

Business Name

KEVIN RAY SANTIAGO DMD

Original Issue Date

04/19/2023

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60586

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024