DIANA CUESTA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

Title

DMD

First Name

DIANA

Last Name

CUESTA

Business Name

DIANA CUESTA DMD

Original Issue Date

07/28/2016

Effective Date

10/17/2019

Expiration Date

01/31/2022

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022