MICHAEL DUSTON HANSEN Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000498

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DUSTON

Last Name

HANSEN

Business Name

MICHAEL DUSTON HANSEN

Original Issue Date

06/09/2016

Effective Date

06/09/2016

Expiration Date

04/30/2018

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

06/19/2018