MARTHA FAYE POTT JENSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002346

License Status

NOT RENEWED

Business

First Name

MARTHA FAYE POTT

Last Name

JENSEN

Business Name

MARTHA FAYE POTT JENSEN

Original Issue Date

07/03/1974

Effective Date

07/03/1974

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005