TREVOR C HANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079218

License Status

EXPIRED

Business

Title

First Name

TREVOR

Middle

Last Name

HANSEN

Business Name

TREVOR C HANSEN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Hand Surgery(Plastic)

Ever Disciplined

LastModifiedDate

03/06/2024