JARED P HANSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052974

License Status

CANCELLED

Business

Title

First Name

JARED

Middle

Last Name

HANSEN

Business Name

JARED P HANSEN MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

LEMONT

State

Zip

60439

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/23/2010