MARTHA C VILLASENOR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

MARTHA C

Last Name

VILLASENOR

Business Name

MARTHA C VILLASENOR

Original Issue Date

11/07/1995

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

WESTCHESTER

State

Zip

60154

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024