MARTHA C VILLASENOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024012

License Status

ACTIVE

Business

First Name

MARTHA C

Last Name

VILLASENOR

Business Name

MARTHA C VILLASENOR

Original Issue Date

10/24/1995

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/27/2024

Case Number

2016005023

Action

Suspension

Discipline Start Date

08/26/2016

Discipline End Date

02/01/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/06/2017.