JENNIFER NGOC BUI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DMD

First Name

JENNIFER

Middle

NGOC

Last Name

BUI

Business Name

JENNIFER NGOC BUI DMD

Original Issue Date

04/19/2022

Effective Date

04/19/2022

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025