JON MICHAEL HANSEN

Controlled Substance Registration - Physician

Indiana  01025647B   Expired

This Indiana license was held by JON MICHAEL HANSEN. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/2003

LICENSE DETAILS

  • License Number: 01025647B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/31/1986 (almost 39 years ago)
  • Expiry Date: 06/30/2003 (almost 22 years ago)

LOCATIONS

A Address

2110 SAWMILL ROAD, BATESVILLE IN 47006