CORINNE MARIE HANSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

CORINNE

Middle

MARIE

Last Name

HANSEN

Business Name

CORINNE MARIE HANSEN

Original Issue Date

08/19/2014

Effective Date

01/20/2024

Expiration Date

03/01/2020

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/06/2024