EDWARD LOUIS JANSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036021421

License Status

INACTIVE

Business

First Name

EDWARD LOUIS

Last Name

JANSEN

Suffix

Business Name

EDWARD LOUIS JANSEN MD

Original Issue Date

07/31/1936

Effective Date

07/31/1936

Expiration Date

07/31/1987

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006