MARK R JENSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

JENSEN

Business Name

MARK R JENSEN

Original Issue Date

04/19/1985

Effective Date

04/19/1985

Expiration Date

09/30/1992

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005