MARK J HANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106045

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

HANSON

Suffix

Business Name

MARK J HANSON MD

Original Issue Date

12/31/2001

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/14/2023