CHAD ALAN HUGUENIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

ALAN

Last Name

HUGUENIN

Suffix

DDS

Business Name

CHAD ALAN HUGUENIN DDS

Original Issue Date

02/22/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009