AUSTIN PENA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035328

License Status

ACTIVE

Business

Title

DMD

First Name

AUSTIN

Last Name

PENA

Business Name

AUSTIN PENA DMD

Original Issue Date

07/07/2024

Effective Date

07/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2024