MICHELLE RENE HANSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013448

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

RENE

Last Name

HANSEN

Business Name

MICHELLE RENE HANSEN

Original Issue Date

12/14/2010

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

06/07/2018