LEWIS ROBERT JENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014587

License Status

NOT RENEWED

Business

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

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005