ANNA DE LA FUENTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030345

License Status

ACTIVE

Business

Title

DMD

First Name

ANNA

Last Name

DE LA FUENTE

Business Name

ANNA DE LA FUENTE DMD

Original Issue Date

07/23/2015

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2024