TERRANCE CONRAD HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037981

License Status

NOT RENEWED

Business

First Name

TERRANCE CONRAD

Last Name

HANSEN

Suffix

Business Name

TERRANCE CONRAD HANSEN MD

Original Issue Date

09/14/1962

Effective Date

09/14/1962

City

SANTA CLARA

State

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006