HETLEVIA ROSA VILAR-JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

HETLEVIA

Middle

ROSA

Last Name

VILAR-JENSEN

Suffix

Business Name

HETLEVIA ROSA VILAR-JENSEN MD

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006