DUANE DAVID HANSEN - Dentist License in Illinois | # 137001141

DUANE DAVID HANSEN

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001141

License Status

ACTIVE

Business

N

First Name

DUANE

Middle

DAVID

Last Name

HANSEN

Business Name

DUANE DAVID HANSEN

Original Issue Date

06/06/2024

Effective Date

06/06/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

09/19/2023