BENJAMIN J JENSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001130

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

Last Name

JENSEN

Business Name

BENJAMIN J JENSEN MD

Original Issue Date

09/23/2016

Effective Date

09/23/2016

Expiration Date

03/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/09/2017