KENNETH CHARLES HANSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141304

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

CHARLES

Last Name

HANSON

Business Name

KENNETH CHARLES HANSON MD

Original Issue Date

07/22/2016

Effective Date

07/22/2016

Expiration Date

07/31/2017

City

WILLIAMS BAY

State

Zip

53191

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017