SHANNON LEIGH JENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002987

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEIGH

Last Name

JENSON

Business Name

SHANNON LEIGH JENSON

Original Issue Date

06/29/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012