TERESA F ASAM JENSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

TERESA F

Middle

ASAM

Last Name

JENSEN

Suffix

Business Name

TERESA F ASAM JENSEN MD

Original Issue Date

05/11/2011

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023