THOMAS WILLIAM HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105522

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WILLIAM

Last Name

HANSEN

Suffix

Business Name

THOMAS WILLIAM HANSEN MD

Original Issue Date

08/31/2001

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

CEDAR RAPIDS

State

Zip

52403

County

IOWA

Ever Disciplined

LastModifiedDate

11/01/2017