SARAH M HANSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111182

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

HANSEN

Business Name

SARAH M HANSEN

Original Issue Date

04/13/2004

Effective Date

04/13/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006