CECILIA GUTIERREZ HANSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

CECILIA

Middle

GUTIERREZ

Last Name

HANSEN

Business Name

CECILIA GUTIERREZ HANSEN DO

Original Issue Date

10/11/2024

Effective Date

10/11/2024

Expiration Date

07/31/2026

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/11/2024