MICHAEL GEORGE JORGENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014881

License Status

NOT RENEWED

Business

First Name

MICHAEL GEORGE

Last Name

JORGENSEN

Suffix

DDS

Business Name

MICHAEL GEORGE JORGENSEN DDS

Original Issue Date

07/17/1974

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

RANCHO PALOS VERDES

State

Zip

90275

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/09/2022