ROBERT J VILLA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

VILLA

Business Name

ROBERT J VILLA

Original Issue Date

06/11/2018

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024