MARI JO HANSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008732

License Status

NOT RENEWED

Business

First Name

MARI

Middle

Last Name

HANSON

Business Name

MARI JO HANSON

Original Issue Date

10/28/2021

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

OCEANSIDE

State

Zip

92056

Ever Disciplined

LastModifiedDate

02/05/2025