MARTHA FAYE POTT JENSEN - Dentist License in Illinois | # 020002346

MARTHA FAYE POTT JENSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002346

License Status

NOT RENEWED

Business

N

First Name

MARTHA FAYE POTT

Last Name

JENSEN

Business Name

MARTHA FAYE POTT JENSEN

Original Issue Date

07/03/1974

Effective Date

07/03/1974

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005