MELISSA J JENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053727

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

JENSEN

Suffix

Business Name

MELISSA J JENSEN MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/24/2010