THOMAS R HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059851

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

HANSEN

Suffix

Business Name

THOMAS R HANSEN MD

Original Issue Date

12/18/1979

Effective Date

12/18/1979

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006