KIRK BRADLEY JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

KIRK BRADLEY

Last Name

JENSEN

Suffix

Business Name

KIRK BRADLEY JENSEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011