JAMES DAVID JANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

DAVID

Last Name

JANSEN

Suffix

Business Name

JAMES DAVID JANSEN MD

Original Issue Date

05/12/1994

Effective Date

05/12/1994

Expiration Date

07/31/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006