JOSHUA E JENSEN II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

Last Name

JENSEN

Suffix

II MD

Business Name

JOSHUA E JENSEN II MD

Original Issue Date

09/24/2001

Effective Date

09/24/2001

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006