JENNIFER MARIE HANSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051531

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

HANSEN

Suffix

Business Name

JENNIFER MARIE HANSEN DO

Original Issue Date

06/28/2006

Effective Date

06/28/2006

Expiration Date

06/27/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009