GRACE TAYLOR HANSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084630

License Status

EXPIRED

Business

Title

First Name

GRACE

Middle

TAYLOR

Last Name

HANSEN

Business Name

GRACE TAYLOR HANSEN MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025