MICHAEL GEORGE JORGENSEN DDS - Dentist License in California | # 021001761

MICHAEL GEORGE JORGENSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001761

License Status

NOT RENEWED

Business

N

First Name

MICHAEL GEORGE

Last Name

JORGENSEN

Suffix

DDS

Business Name

MICHAEL GEORGE JORGENSEN DDS

Original Issue Date

09/16/1995

Effective Date

06/12/2018

Expiration Date

01/31/2022

State

CA

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

05/09/2022