DUANE DAVID HANSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019603

License Status

ACTIVE

Business

First Name

DUANE

Middle

DAVID

Last Name

HANSEN

Business Name

DUANE DAVID HANSEN

Original Issue Date

07/17/1985

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/17/2024

Case Number

2003009106

Action

Probation

Discipline Start Date

07/12/2005

Discipline End Date

07/11/2007

Discipline Reason

FAILED TO MAINTAIN PROPER TREATMENT RECORDS, SOUGHT PAYMENT FOR SERVICES NOT FULLY RENDERED AND INSURANCE IRREGULARITIES.