LAWRENCE A HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058625

License Status

NOT RENEWED

Business

First Name

LAWRENCE A

Last Name

HANSEN

Suffix

Business Name

LAWRENCE A HANSEN MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1990

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006