CRYSTAL BELEN LUNA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

Title

DMD

First Name

CRYSTAL

Middle

BELEN

Last Name

LUNA

Business Name

CRYSTAL BELEN LUNA DMD

Original Issue Date

06/29/2020

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024