NIKOLAS F HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

NIKOLAS F

Last Name

HANSEN

Suffix

Business Name

NIKOLAS F HANSEN MD

Original Issue Date

07/01/1981

Effective Date

07/01/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006