RACHEL MOLINA BUNNAO 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

RACHEL

Middle

MOLINA

Last Name

BUNNAO

Suffix

DDS

Business Name

RACHEL MOLINA BUNNAO DDS

Original Issue Date

02/04/2000

Effective Date

02/04/2000

Expiration Date

09/30/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005