ROBERT FRANK HANSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

ROBERT FRANK

Last Name

HANSEN

Suffix

DDS

Business Name

ROBERT FRANK HANSEN DDS

Original Issue Date

01/01/1998

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016