ELIZABETH ROSE HANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049027

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

ROSE

Last Name

HANSEN

Suffix

Business Name

ELIZABETH ROSE HANSEN MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008