DIANA LILLY PATARROYO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

DIANA

Middle

LILLY

Last Name

PATARROYO

Business Name

DIANA LILLY PATARROYO

Original Issue Date

07/09/2003

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024