GLENN ALLAN HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013834

License Status

NOT RENEWED

Business

First Name

GLENN ALLAN

Last Name

HANSEN

Suffix

DDS

Business Name

GLENN ALLAN HANSEN DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005