JON J JANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023823

License Status

EXPIRED

Business

First Name

JON J

Last Name

JANSEN

Suffix

Business Name

JON J JANSEN MD

Original Issue Date

05/17/1989

Effective Date

05/17/1989

Expiration Date

06/26/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006