ANDREA ESTE FANIA REALE REYES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000223

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANDREA

Middle

ESTE FANIA

Last Name

REALE REYES

Business Name

ANDREA ESTE FANIA REALE REYES DDS

Original Issue Date

09/05/2017

Effective Date

07/16/2020

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025