DIANA LILIANA SANTIAGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

LILIANA

Last Name

SANTIAGO

Business Name

DIANA LILIANA SANTIAGO MD

Original Issue Date

10/19/2020

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023