MARK K JENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076107

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

JENSON

Suffix

Business Name

MARK K JENSON MD

Original Issue Date

09/29/1987

Effective Date

09/29/1987

Expiration Date

07/31/2002

City

GREEN BAY

State

Zip

54313

County

BROWN

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

2006002843

Action

Reprimand

Discipline Start Date

04/20/2007

Discipline Reason

after being disciplined in the state of Wisconsin.