GREG FREDERICK JENSEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006740

License Status

INACTIVE

Business

First Name

GREG FREDERICK

Last Name

JENSEN

Business Name

GREG FREDERICK JENSEN

Original Issue Date

07/18/1975

Expiration Date

03/31/1988

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005