PHILLIP M JENSEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020843

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

JENSEN

Suffix

DMD

Business Name

PHILLIP M JENSEN DMD

Original Issue Date

09/23/1987

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2022001151

Action

Temporary Suspension

Discipline Start Date

02/18/2022

Discipline End Date

04/12/2023

Discipline Reason

dental license temporarily suspended due to a finding that respondent is an immediate danger to the public.