JONATHAN WILLIAM JANSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

WILLIAM

Last Name

JANSEN

Business Name

JONATHAN WILLIAM JANSEN DO

Original Issue Date

08/15/2014

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023