DAVID ELWOOD HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063701

License Status

NOT RENEWED

Business

First Name

DAVID ELWOOD

Last Name

HANSEN

Suffix

Business Name

DAVID ELWOOD HANSEN MD

Original Issue Date

01/05/1982

Effective Date

01/05/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006