EMILY MARIE HANSEN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

Title

DMD

First Name

EMILY

Middle

MARIE

Last Name

HANSEN

Business Name

EMILY MARIE HANSEN DMD

Original Issue Date

05/26/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024