GREGORY HANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060756

License Status

EXPIRED

Business

Title

First Name

GREGORY

Last Name

HANSEN

Business Name

GREGORY HANSEN MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Neurocritical Care

Ever Disciplined

LastModifiedDate

10/07/2013