GLENN ALLAN HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000738

License Status

NOT RENEWED

Business

First Name

GLENN ALLAN

Last Name

HANSEN

Suffix

DDS

Business Name

GLENN ALLAN HANSEN DDS

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

09/30/2002

City

BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/17/2005