ALAN V VILLANUEVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

VILLANUEVA

Business Name

ALAN V VILLANUEVA

Original Issue Date

03/11/1992

Effective Date

09/12/2012

Expiration Date

09/30/2015

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016