ALLEN R JENSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000259

License Status

NOT RENEWED

Business

First Name

ALLEN R

Last Name

JENSEN

Business Name

ALLEN R JENSEN

Original Issue Date

10/20/1983

Effective Date

10/20/1983

Expiration Date

03/01/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006