JACLYN M HANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079022

License Status

EXPIRED

Business

Title

First Name

JACLYN

Middle

Last Name

HANSEN

Business Name

JACLYN M HANSEN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024