DONNA CHRISTINE JENSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020130

License Status

EXPIRED

Business

Title

First Name

DONNA

Middle

CHRISTINE

Last Name

JENSEN

Business Name

DONNA CHRISTINE JENSEN DO

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006