ANDREA ESTE FANIA REALE REYES DDS - Dentist License in Illinois | # 136000223

ANDREA ESTE FANIA REALE REYES DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000223

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

ANDREA

Middle

ESTE FANIA

Last Name

REALE REYES

Business Name

ANDREA ESTE FANIA REALE REYES DDS

Original Issue Date

09/05/2017

Effective Date

07/16/2020

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025