GENA F PINEDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

GENA

Middle

Last Name

PINEDA

Suffix

DDS

Business Name

GENA F PINEDA DDS

Original Issue Date

09/08/2004

Effective Date

12/07/2021

Expiration Date

09/30/2024

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025