PHILLIP M JENSEN DMD Dentist License verification

PHILLIP M JENSEN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001672

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

JENSEN

Suffix

DMD

Business Name

PHILLIP M JENSEN DMD

Original Issue Date

09/24/1993

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

08/25/2025

Case Number

2022001151

Action

Suspension

Discipline Start Date

04/12/2023

Discipline Reason

dental specialty license indefinitely suspended for a minimum of one year and effective retroactively to April 12, 2023 due to inability to practice with reasonable judgment, skill, and safety as a result of habitual or excessive use or addiction to alcohol, narcotics, stimulants, or any other chemical agent or drug.