KIRK BRADLEY JENSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058909

License Status

INACTIVE

Business

First Name

KIRK BRADLEY

Last Name

JENSEN

Suffix

Business Name

KIRK BRADLEY JENSEN MD

Original Issue Date

07/20/1979

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

ROCKY MOUNT

State

Zip

27804

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/08/2014