KATHLEEN MARIE HANSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

KATHLEEN MARIE

Last Name

HANSEN

Business Name

KATHLEEN MARIE HANSEN

Original Issue Date

12/21/1984

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

HANOVER PARK

State

Zip

60133

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024