David Wayne Hansen
Controlled Substance Registration - Physician
Indiana 01059301B Expired
This Indiana license was held by David Wayne Hansen. The license is no longer active. It was granted on 06/15/2004 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01059301B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/15/2004 (about 21 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
King's Daughter Hospital, One King's Dauther Drive, Madison IN 47250