O HARRIS HANSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001502

License Status

NOT RENEWED

Business

First Name

O HARRIS

Last Name

HANSEN

Business Name

O HARRIS HANSEN

Original Issue Date

12/05/2000

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

LAURINBURG

State

Zip

28352

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

05/10/2018