TRAVIS S JENSEN DPM - Podiatrist License in Arizona | # 016005134

TRAVIS S JENSEN DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005134

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

S

Last Name

JENSEN

Suffix

DPM

Business Name

TRAVIS S JENSEN DPM

Original Issue Date

06/23/2003

Effective Date

02/01/2007

Expiration Date

01/31/2009

State

AZ

Ever Disciplined

N

LastModifiedDate

03/17/2009