CHIARINA MARIE IREGUI DS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

CHIARINA

Middle

MARIE

Last Name

IREGUI

Suffix

Business Name

CHIARINA MARIE IREGUI DS

Original Issue Date

01/26/2001

Effective Date

01/26/2001

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005