DAVID E HANSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

HANSON

Business Name

DAVID E HANSON

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

07/31/2002

City

MOUNT CARROLL

State

Zip

61053

County

CARROLL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020