EMANUEL EDWARDO DE LA FUENTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036286

License Status

ACTIVE

Business

Title

DMD

First Name

EMANUEL

Middle

EDWARDO

Last Name

DE LA FUENTE

Business Name

EMANUEL EDWARDO DE LA FUENTE DMD

Original Issue Date

07/14/2025

Effective Date

07/14/2025

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2025