CARLA J DELAFUENTE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

CARLA

Middle

Last Name

DELAFUENTE

Suffix

DDS

Business Name

CARLA J DELAFUENTE DDS

Original Issue Date

07/17/2007

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60064

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024