SAMANTHA LYNN JANSEN - Dentist License in Illinois | # 020008914

SAMANTHA LYNN JANSEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008914

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA LYNN

Last Name

JANSEN

Business Name

SAMANTHA LYNN JANSEN

Original Issue Date

03/05/1997

Effective Date

10/01/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016