SAMANTHA L JENSEN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DPM

First Name

SAMANTHA

Middle

Last Name

JENSEN

Business Name

SAMANTHA L JENSEN DPM

Original Issue Date

10/02/2020

Effective Date

11/12/2024

Expiration Date

01/31/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025