DIANA K CARDONA SALAZAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

CARDONA SALAZAR

Business Name

DIANA K CARDONA SALAZAR

Original Issue Date

08/13/2018

Effective Date

08/22/2024

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

08/22/2024