NESTOR DIAZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

Title

DMD

First Name

NESTOR

Last Name

DIAZ

Business Name

NESTOR DIAZ DMD

Original Issue Date

06/09/2025

Effective Date

06/09/2025

Expiration Date

09/30/2027

City

STICKNEY

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2025