FAUSTINO DIEGO SANTIAGO OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****71

License Status

ACTIVE

Business

Title

First Name

FAUSTINO

Middle

DIEGO

Last Name

SANTIAGO

Business Name

FAUSTINO DIEGO SANTIAGO OD

Original Issue Date

05/31/2017

Effective Date

03/21/2024

Expiration Date

03/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026