MAI HUYNH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

MAI

Last Name

HUYNH

Suffix

DDS

Business Name

MAI HUYNH DDS

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

09/30/2004

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005