HEINERY AREVALO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DMD

First Name

HEINERY

Last Name

AREVALO

Business Name

HEINERY AREVALO DMD

Original Issue Date

06/28/2022

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024