MELISSA J JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123829

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

JENSEN

Suffix

Business Name

MELISSA J JENSEN MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011