JOHN MICHAEL SEGNINI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MICHAEL

Last Name

SEGNINI

Business Name

JOHN MICHAEL SEGNINI

Original Issue Date

09/18/2001

Effective Date

09/18/2001

Expiration Date

09/30/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005