THOMAS ROYAL HANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033612

License Status

NOT RENEWED

Business

First Name

THOMAS ROYAL

Last Name

HANSEN

Suffix

Business Name

THOMAS ROYAL HANSEN MD

Original Issue Date

08/31/1955

Effective Date

08/31/1955

Expiration Date

07/01/1982

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006