VIVIAN CASTELLANOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DMD

First Name

VIVIAN

Last Name

CASTELLANOS

Business Name

VIVIAN CASTELLANOS DMD

Original Issue Date

02/07/2019

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024