MARLEE GLEN HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030462

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARLEE

Middle

GLEN

Last Name

HANSEN

Business Name

MARLEE GLEN HANSEN DDS

Original Issue Date

08/25/2015

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/09/2022