THOMAS DEAN HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093682

License Status

NOT RENEWED

Business

First Name

THOMAS DEAN

Last Name

HANSEN

Suffix

Business Name

THOMAS DEAN HANSEN MD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/12/2017