EMANUEL EDWARDO DE LA FUENTE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

Title

DMD

First Name

EMANUEL

Middle

EDWARDO

Last Name

DE LA FUENTE

Business Name

EMANUEL EDWARDO DE LA FUENTE DMD

Original Issue Date

07/14/2025

Effective Date

07/14/2025

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2025