CARMEN VILLASANTE GRAVES DDS - Dentist License in Illinois | # 021002792

CARMEN VILLASANTE GRAVES DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002792

License Status

ACTIVE

Business

N

Title

DDS

First Name

CARMEN

Middle

VILLASANTE

Last Name

GRAVES

Business Name

CARMEN VILLASANTE GRAVES DDS

Original Issue Date

12/21/2016

Effective Date

06/28/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

N

LastModifiedDate

06/28/2024