DIEGO ANDRES HANSSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071618

License Status

EXPIRED

Business

Title

First Name

DIEGO

Middle

ANDRES

Last Name

HANSSEN

Business Name

DIEGO ANDRES HANSSEN MD

Original Issue Date

02/22/2018

Effective Date

02/22/2018

Expiration Date

02/21/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/18/2019