SHANNON LEIGH JENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEIGH

Last Name

JENSON

Business Name

SHANNON LEIGH JENSON

Original Issue Date

10/12/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012