RICHARD LEE JENSEN DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036004

License Status

INACTIVE

Business

First Name

RICHARD LEE

Last Name

JENSEN

Suffix

Business Name

RICHARD LEE JENSEN DO

Original Issue Date

08/31/1959

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

S. HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014