HOMER HARVEY HANSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

CANCELLED

Business

First Name

HOMER HARVEY

Last Name

HANSON

Suffix

Business Name

HOMER HARVEY HANSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006