MELISSA J 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

MELISSA

Middle

Last Name

JENSEN

Suffix

Business Name

MELISSA J JENSEN MD

Original Issue Date

07/07/2009

Effective Date

07/07/2009

Expiration Date

07/31/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011