DAVID D JENSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093256

License Status

NOT RENEWED

Business

First Name

DAVID D

Last Name

JENSEN

Suffix

Business Name

DAVID D JENSEN DO

Original Issue Date

06/19/1996

Effective Date

06/19/1996

Expiration Date

07/31/1999

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/04/2008