CHRISTOPHER JAMES HANSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061627

License Status

CANCELLED

Business

Title

First Name

CHRISTOPHER

Middle

JAMES

Last Name

HANSON

Business Name

CHRISTOPHER JAMES HANSON MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014