COLIN TODD JORGENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071684

License Status

EXPIRED

Business

Title

First Name

COLIN

Middle

TODD

Last Name

JORGENSEN

Business Name

COLIN TODD JORGENSEN MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/11/2022