ROLF H HANSEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004636

License Status

NOT RENEWED

Business

First Name

ROLF H

Last Name

HANSEN

Business Name

ROLF H HANSEN

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

01/31/1995

City

BEAVER DAM

State

Zip

53916

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006