DAVID E HANSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020049

License Status

EXPIRED

Business

First Name

DAVID E

Last Name

HANSON

Business Name

DAVID E HANSON

Original Issue Date

07/08/1986

Effective Date

07/08/1986

Expiration Date

07/01/1989

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006