HAROLD LEROY JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

HAROLD LEROY

Last Name

JENSEN

Suffix

Business Name

HAROLD LEROY JENSEN MD

Original Issue Date

01/01/1997

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017