JUSTIN JAMES VILLANUEVA - Dentist License in Illinois | # 019030729

JUSTIN JAMES VILLANUEVA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030729

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

JAMES

Last Name

VILLANUEVA

Business Name

JUSTIN JAMES VILLANUEVA

Original Issue Date

06/16/2016

Effective Date

12/23/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025