GENA F PINEDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026456

License Status

NOT RENEWED

Business

First Name

GENA

Middle

Last Name

PINEDA

Suffix

DDS

Business Name

GENA F PINEDA DDS

Original Issue Date

06/18/2004

Effective Date

12/07/2021

Expiration Date

09/30/2024

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025