JOSE A VILLANUEVA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

Title

DMD

First Name

JOSE

Middle

Last Name

VILLANUEVA

Business Name

JOSE A VILLANUEVA DMD

Original Issue Date

02/14/2022

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2024