License Directory

Daniel Roth Hansen Md

Expired

Illinois license 036036048

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036036048
Status
Expired (Not Renewed)
First issued
September 2, 1959
Expired
July 31, 1987
License holder
Daniel Roth Hansen Md
Entity type
Individual

Classifications

More from the license record

Current term began
09/02/1959

Contact

Walworth, WI 53184
Wisconsin County