THOMAS STEPHAN P HANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

THOMAS STEPHAN P

Last Name

HANSON

Business Name

THOMAS STEPHAN P HANSON MD

Original Issue Date

06/21/1995

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023