STEVEN TODD JENSEN DDS - Dentist License in Illinois | # 137000147

STEVEN TODD JENSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000147

License Status

NOT RENEWED

Business

N

First Name

STEVEN

Middle

TODD

Last Name

JENSEN

Suffix

DDS

Business Name

STEVEN TODD JENSEN DDS

Original Issue Date

01/01/1998

Effective Date

11/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022