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 The license is no longer active.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 (almost 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