TERESA F ASAM JENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052511

License Status

EXPIRED

Business

First Name

TERESA F

Middle

ASAM

Last Name

JENSEN

Suffix

Business Name

TERESA F ASAM JENSEN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010