THOMAS R HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

HANSEN

Suffix

Business Name

THOMAS R HANSEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006