KERRI-ANNE HANSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

KERRI-ANNE

Last Name

HANSON

Business Name

KERRI-ANNE HANSON

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005