License holder summary

ALEXANDRA ELIZABETH HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for ALEXANDRA ELIZABETH HANSEN is 853 ORCHID CT APT M UPLAND CA 91786. This licensed professional license is not current. The license was granted 06/04/2014 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

ALEXANDRA ELIZABETH HANSEN
Board Of Medicine
License number
LRT-1787
Date granted
06/04/2014
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
853 ORCHID CT APT M UPLAND CA 91786
idaholicensing.com
ID 48360658
LAST UPDATED 2024-04-10 13:55:46 UTC

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