BARRY GLENN HANSFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057296

License Status

CANCELLED

Business

Title

First Name

BARRY

Middle

GLENN

Last Name

HANSFORD

Business Name

BARRY GLENN HANSFORD MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/07/2010