CHRISTINE CHEN JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

CHEN

Last Name

JENSEN

Suffix

Business Name

CHRISTINE CHEN JENSEN MD

Original Issue Date

10/29/2010

Effective Date

10/29/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/10/2011