RANDY L JENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026349

License Status

EXPIRED

Business

First Name

RANDY L

Last Name

JENSEN

Suffix

Business Name

RANDY L JENSEN MD

Original Issue Date

05/01/1991

Effective Date

05/01/1991

Expiration Date

06/30/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006