RICHARD ANTHONY JORGENSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

RICHARD ANTHONY

Last Name

JORGENSEN

Suffix

Business Name

RICHARD ANTHONY JORGENSEN MD

Original Issue Date

07/06/1981

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023