STEPHANIE LYN JENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000771

License Status

NOT RENEWED

Business

First Name

STEPHANIE LYN

Last Name

JENSEN

Suffix

DDS

Business Name

STEPHANIE LYN JENSEN DDS

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005