BRIAN DAVID HANSEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

DAVID

Last Name

HANSEL

Business Name

BRIAN DAVID HANSEL OD

Original Issue Date

06/19/2015

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021