KRISTIAN HALE JENSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001335

License Status

NOT RENEWED

Business

First Name

KRISTIAN

Middle

HALE

Last Name

JENSEN

Business Name

KRISTIAN HALE JENSEN

Original Issue Date

01/13/2000

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

FRANKLIN

State

Zip

46131

County

JOHNSON

Ever Disciplined

LastModifiedDate

07/27/2022