MICHAEL DUSTON HANSEN - Surgical Assistant/Technologist License in Illinois | # 238000498

MICHAEL DUSTON HANSEN

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000498

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

DUSTON

Last Name

HANSEN

Business Name

MICHAEL DUSTON HANSEN

Original Issue Date

06/09/2016

Effective Date

06/09/2016

Expiration Date

04/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018