DALLAS LEE PINEDA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

Title

DMD

First Name

DALLAS

Middle

LEE

Last Name

PINEDA

Business Name

DALLAS LEE PINEDA DMD

Original Issue Date

10/13/2020

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2024