ALEXANDRA NICOLE FONTANA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDRA

Middle

NICOLE

Last Name

FONTANA

Business Name

ALEXANDRA NICOLE FONTANA DMD

Original Issue Date

08/24/2025

Effective Date

08/24/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/24/2025