DAVID L HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

HANSEN

Suffix

Business Name

DAVID L HANSEN MD

Original Issue Date

08/12/1981

Effective Date

08/12/1981

Expiration Date

07/31/1996

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020