JENNIFER ERIN HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134408

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

ERIN

Last Name

HANSEN

Business Name

JENNIFER ERIN HANSEN MD

Original Issue Date

01/09/2014

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017