PHILLIP M JENSEN DMD Dentist License verification

PHILLIP M JENSEN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

JENSEN

Suffix

DMD

Business Name

PHILLIP M JENSEN DMD

Original Issue Date

11/10/1987

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

2022001151

Action

Temporary Suspension

Discipline Start Date

02/18/2022

Discipline End Date

04/12/2023

Discipline Reason

dentist controlled substance license temporarily suspended due to a finding that respondent is an immediate danger to the public.