STEVEN TODD JENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

TODD

Last Name

JENSEN

Suffix

DDS

Business Name

STEVEN TODD JENSEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005