MARY JANE S JENSEN-WIESINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

MARY JANE S

Last Name

JENSEN-WIESINGER

Suffix

Business Name

MARY JANE S JENSEN-WIESINGER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/06/2008