JONATHAN EDWARD JENSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

JENSEN

Business Name

JONATHAN EDWARD JENSEN MD

Original Issue Date

05/12/2020

Effective Date

12/17/2024

Expiration Date

07/31/2026

City

LONGMONT

State

Zip

80503

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2024