JENNIE YAGER EVENSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005663

License Status

INACTIVE

Business

First Name

JENNIE

Middle

YAGER

Last Name

EVENSEN

Business Name

JENNIE YAGER EVENSEN

Original Issue Date

08/29/1984

Effective Date

11/02/2005

Expiration Date

09/30/2006

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/24/2006