MICHELLE T VILLANUEVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026193

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

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

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/25/2007