PATRICIA CARIAGA CRISOSTOMO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

Title

DMD

First Name

PATRICIA

Middle

CARIAGA

Last Name

CRISOSTOMO

Business Name

PATRICIA CARIAGA CRISOSTOMO DMD

Original Issue Date

12/07/1999

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024