CARLA WALKER JORGENSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104721

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

WALKER

Last Name

JORGENSEN

Business Name

CARLA WALKER JORGENSEN

Original Issue Date

05/16/2001

Effective Date

05/16/2001

Expiration Date

07/31/2005

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2008