MARK CHRISTOPHER HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MARK

Middle

CHRISTOPHER

Last Name

HANSEN

Suffix

Business Name

MARK CHRISTOPHER HANSEN MD

Original Issue Date

11/14/2011

Effective Date

11/14/2011

Expiration Date

07/31/2014

City

DANIEL ISLAND

State

Zip

29492

County

SOUTH CAROLINA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020