DOUGLAS ERIC JENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017135

License Status

NOT RENEWED

Business

First Name

DOUGLAS ERIC

Last Name

JENSEN

Suffix

DDS

Business Name

DOUGLAS ERIC JENSEN DDS

Original Issue Date

06/01/1980

Effective Date

08/23/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022