SCOTT E HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DDS

First Name

SCOTT E

Last Name

HANSEN

Business Name

SCOTT E HANSEN DDS

Original Issue Date

10/14/2008

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

BETTENDORF

State

Zip

52722

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016