MARK EDWARD HANSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057023

License Status

ACTIVE

Business

First Name

MARK EDWARD

Last Name

HANSEN

Suffix

Business Name

MARK EDWARD HANSEN MD

Original Issue Date

07/13/1978

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/28/2023