WARREN KENT HANSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

WARREN

Middle

KENT

Last Name

HANSEN

Business Name

WARREN KENT HANSEN MD

Original Issue Date

04/26/2023

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46278

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023