DIANA LILLY PATARROYO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LILLY

Last Name

PATARROYO

Business Name

DIANA LILLY PATARROYO

Original Issue Date

02/06/2003

Effective Date

02/06/2003

Expiration Date

09/30/2004

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005