KRISTIN ADELE JENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016836

License Status

EXPIRED

Business

First Name

KRISTIN ADELE

Last Name

JENSEN

Suffix

Business Name

KRISTIN ADELE JENSEN MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006