ROGER A CHRISTENSEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060687

License Status

CANCELLED

Business

Title

First Name

ROGER

Middle

Last Name

CHRISTENSEN

Business Name

ROGER A CHRISTENSEN DO

Original Issue Date

07/18/2011

Effective Date

07/18/2011

Expiration Date

07/17/2013

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

07/18/2011