LARRY JAY JENSEN - Physician Assistant License in Illinois | # 085002970

LARRY JAY JENSEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002970

License Status

NOT RENEWED

Business

N

First Name

LARRY

Middle

JAY

Last Name

JENSEN

Business Name

LARRY JAY JENSEN

Original Issue Date

06/14/2007

Effective Date

06/14/2007

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008