KRISTIN ADELE JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

KRISTIN ADELE

Last Name

JENSEN

Suffix

Business Name

KRISTIN ADELE JENSEN MD

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006