AMY DIAZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

Title

DMD

First Name

AMY

Last Name

DIAZ

Business Name

AMY DIAZ DMD

Original Issue Date

07/24/2023

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

ELWOOD

State

Zip

60421

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024