JENS CHRISTIAN CARLSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047406

License Status

EXPIRED

Business

First Name

JENS

Middle

CHRISTIAN

Last Name

CARLSEN

Suffix

Business Name

JENS CHRISTIAN CARLSEN DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urological Surgery

Ever Disciplined

LastModifiedDate

07/08/2010