CARMEN VILLASANTE GRAVES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002792

License Status

ACTIVE

Business

Title

DDS

First Name

CARMEN

Middle

VILLASANTE

Last Name

GRAVES

Business Name

CARMEN VILLASANTE GRAVES DDS

Original Issue Date

12/21/2016

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

06/28/2024