MICHAEL HANSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077999

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Last Name

HANSEN

Business Name

MICHAEL HANSEN MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

12/11/2024