JUSTIN JAMES VILLANUEVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

JAMES

Last Name

VILLANUEVA

Business Name

JUSTIN JAMES VILLANUEVA

Original Issue Date

06/16/2016

Effective Date

12/23/2021

Expiration Date

09/30/2024

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025