NATHANIEL ROBERT JENSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

ROBERT

Last Name

JENSEN

Business Name

NATHANIEL ROBERT JENSEN MD

Original Issue Date

11/05/2025

Effective Date

11/05/2025

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/05/2025