JENNIFER ERIN HANSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057975

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

ERIN

Last Name

HANSEN

Business Name

JENNIFER ERIN HANSEN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/17/2013