ROLF H HANSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

ROLF H

Last Name

HANSEN

Business Name

ROLF H HANSEN

Original Issue Date

07/30/1992

Effective Date

07/30/1992

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006