DAVID C JEN - Dentist License in Illinois | # 018000228

DAVID C JEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000228

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

C

Last Name

JEN

Business Name

DAVID C JEN

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

05/26/1990

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005