THOMAS ERIC HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115927

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ERIC

Last Name

HANSEN

Suffix

Business Name

THOMAS ERIC HANSEN MD

Original Issue Date

05/15/2006

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/18/2020

Case Number

2016009338

Action

Fine

Discipline Start Date

11/16/2020