RICHARD B HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000669

License Status

NOT RENEWED

Business

First Name

RICHARD B

Last Name

HANSEN

Suffix

DDS

Business Name

RICHARD B HANSEN DDS

Original Issue Date

09/21/1992

Effective Date

09/21/1992

Expiration Date

07/20/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005