TRAVIS S JENSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005134

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

JENSEN

Suffix

DPM

Business Name

TRAVIS S JENSEN DPM

Original Issue Date

06/23/2003

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

GLENDALE

State

Zip

60654

Ever Disciplined

LastModifiedDate

03/17/2009