DUANE MARK JENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104386

License Status

NOT RENEWED

Business

First Name

DUANE

Middle

MARK

Last Name

JENSEN

Suffix

Business Name

DUANE MARK JENSEN MD

Original Issue Date

03/22/2001

Effective Date

03/22/2001

Expiration Date

07/31/2002

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/23/2007