KATY AVILA CORREA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

Title

DMD

First Name

KATY

Middle

AVILA

Last Name

CORREA

Business Name

KATY AVILA CORREA DMD

Original Issue Date

08/16/2018

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024