ANDREA ESTE FANIA REALE REYES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033459

License Status

ACTIVE

Business

Title

DDS

First Name

ANDREA

Middle

ESTE FANIA

Last Name

REALE REYES

Business Name

ANDREA ESTE FANIA REALE REYES DDS

Original Issue Date

11/02/2021

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024