STEVEN T JENSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

JENSEN

Suffix

Business Name

STEVEN T JENSEN OD

Original Issue Date

11/07/2011

Effective Date

03/14/2014

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61614

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016