CHRIS JOHN JENSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000689

License Status

NOT RENEWED

Business

First Name

CHRIS JOHN

Last Name

JENSEN

Business Name

CHRIS JOHN JENSEN

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

03/01/1996

City

WAUNAKEE

State

Zip

53597

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/26/2006