License Directory

Blake William Hansen

Active

California license A210573

License

Licensed by
Medical Board of California
License number
A210573
Status
Active (Current)
First issued
July 13, 2026
Expires
September 30, 2028
License holder
Blake William Hansen
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

875 W Red Cliffs Dr
Ste 9 Box:1005
Washington, UT 84780
Washington County