DIANA LILLY PATARROYO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LILLY

Last Name

PATARROYO

Business Name

DIANA LILLY PATARROYO

Original Issue Date

01/08/2003

Effective Date

01/08/2003

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005