MIRIAM LOUISE HANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117223

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

LOUISE

Last Name

HANSON

Suffix

Business Name

MIRIAM LOUISE HANSON MD

Original Issue Date

11/29/2006

Effective Date

11/29/2006

Expiration Date

07/31/2008

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/11/2008