VICTORIANO AVILA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

VICTORIANO

Last Name

AVILA

Suffix

DDS

Business Name

VICTORIANO AVILA DDS

Original Issue Date

06/05/2007

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024