LEWIS ROBERT JENSEN DDS - Dentist License in Illinois | # 019014587

LEWIS ROBERT JENSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014587

License Status

NOT RENEWED

Business

N

First Name

LEWIS ROBERT

Last Name

JENSEN

Suffix

DDS

Business Name

LEWIS ROBERT JENSEN DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005