GLENN ALLAN HANSEN DDS - Dentist License in Illinois | # 019013834

GLENN ALLAN HANSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013834

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005