PETER B HANSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021799

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

HANSEN

Business Name

PETER B HANSEN

Original Issue Date

01/13/1988

Effective Date

01/13/1988

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006