MARK R JENSEN - Dentist License in Minnesota | # 021001384

MARK R JENSEN

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001384

License Status

INACTIVE

Business

N

First Name

MARK R

Last Name

JENSEN

Business Name

MARK R JENSEN

Original Issue Date

11/26/1987

Effective Date

11/26/1987

Expiration Date

09/30/1992

State

MN

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005