CARMEN VILLASANTE GRAVES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

Title

DDS

First Name

CARMEN

Middle

VILLASANTE

Last Name

GRAVES

Business Name

CARMEN VILLASANTE GRAVES DDS

Original Issue Date

12/21/2016

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2024