THOMAS HAROLD HANSEN - Physician Assistant License in Illinois | # 085003464

THOMAS HAROLD HANSEN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003464

License Status

INACTIVE

Business

N

First Name

THOMAS

Middle

HAROLD

Last Name

HANSEN

Business Name

THOMAS HAROLD HANSEN

Original Issue Date

06/03/2009

Effective Date

12/24/2019

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2022