JENNIFER L WIENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026045

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005