DIANA M LACY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

LACY

Suffix

DDS

Business Name

DIANA M LACY DDS

Original Issue Date

07/16/1999

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026