LARRY JAY JENSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002970

License Status

NOT RENEWED

Business

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

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

04/23/2008