DOUGLAS ALAN HANSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144090

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

ALAN

Last Name

HANSEN

Business Name

DOUGLAS ALAN HANSEN MD

Original Issue Date

08/14/2017

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

MANITOWOC

State

Zip

54220

Ever Disciplined

LastModifiedDate

06/30/2023