CHRISTOPHER NORMAN P HANSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

NORMAN P

Last Name

HANSEN

Suffix

Business Name

CHRISTOPHER NORMAN P HANSEN OD

Original Issue Date

09/22/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005