JESSE P JORGENSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108630

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

Last Name

JORGENSEN

Business Name

JESSE P JORGENSEN

Original Issue Date

02/20/2003

Effective Date

02/20/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2008