JENNIFER L WIENS DDS - Dentist License in Illinois | # 019026045

JENNIFER L WIENS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026045

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

WIENS

Suffix

DDS

Business Name

JENNIFER L WIENS DDS

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005