JERRY L JENSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071680

License Status

ACTIVE

Business

First Name

JERRY L

Last Name

JENSEN

Suffix

Business Name

JERRY L JENSEN DO

Original Issue Date

09/18/1985

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

07/08/2023