STEPHANIE LYN JENSEN DDS - Dentist License in Illinois | # 018000771

STEPHANIE LYN JENSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000771

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005