KELLY FERNANDA MOLENA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000285

License Status

ACTIVE

Business

First Name

KELLY

Middle

FERNANDA

Last Name

MOLENA

Business Name

KELLY FERNANDA MOLENA

Original Issue Date

09/12/2025

Effective Date

10/16/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/12/2025