MARK LAYNE JENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125843

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LAYNE

Last Name

JENSON

Suffix

Business Name

MARK LAYNE JENSON MD

Original Issue Date

05/25/2010

Effective Date

05/25/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011