KIRK BRADLEY JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

KIRK BRADLEY

Last Name

JENSEN

Suffix

Business Name

KIRK BRADLEY JENSEN MD

Original Issue Date

09/15/2006

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014