JOHN HENRI HANSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014061

License Status

INACTIVE

Business

First Name

JOHN HENRI

Last Name

HANSEN

Suffix

DDS

Business Name

JOHN HENRI HANSEN DDS

Original Issue Date

07/08/1971

Effective Date

08/07/2012

Expiration Date

09/30/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/08/2015