MATTHEW DEAN HANSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054033

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

DEAN

Last Name

HANSON

Business Name

MATTHEW DEAN HANSON MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCK ISLAND

State

Zip

61201

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/30/2008