HARRIET S HANSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052731

License Status

EXPIRED

Business

Title

First Name

HARRIET

Middle

Last Name

HANSEN

Business Name

HARRIET S HANSEN DO

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/24/2010