MICHELLE T VILLANUEVA DDS - Dentist License in Illinois | # 019026193

MICHELLE T VILLANUEVA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026193

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

T

Last Name

VILLANUEVA

Suffix

DDS

Business Name

MICHELLE T VILLANUEVA DDS

Original Issue Date

07/07/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/25/2007