DAVID C JEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000228

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

JEN

Business Name

DAVID C JEN

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

05/26/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005