TIMOTHY S HANSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020351

License Status

INACTIVE

Business

First Name

TIMOTHY S

Last Name

HANSEN

Business Name

TIMOTHY S HANSEN

Original Issue Date

09/17/1986

Effective Date

09/17/1986

Expiration Date

09/30/2002

City

VISTA

State

Zip

92084

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005