FRED JAMES JENSEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037093

License Status

NOT RENEWED

Business

First Name

FRED JAMES

Last Name

JENSEN

Suffix

Business Name

FRED JAMES JENSEN DO

Original Issue Date

02/24/1961

Effective Date

02/24/1961

City

CHAGRIN FALLS VILLAG

State

Zip

44022

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006