HAZEL M SANTIAGO-MACANIP DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

First Name

HAZEL

Middle

Last Name

SANTIAGO-MACANIP

Suffix

DDS

Business Name

HAZEL M SANTIAGO-MACANIP DDS

Original Issue Date

08/31/2007

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ROMEOVILLE

State

Zip

60446

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024