JEFFREY JAMES JENSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

JAMES

Last Name

JENSON

Suffix

Business Name

JEFFREY JAMES JENSON MD

Original Issue Date

06/29/2005

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

NEWTON

State

Zip

62448

County

JASPER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020