Idaho
Division of Occupational and Professional Licenses
DAVID STANLEY HANSEN
Board Of Medicine
License number
LRT-446
Date granted
06/10/1994
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
401 DENNIS DR BURLEY ID 83318
idaholicensing.com
ID 48360668
LAST UPDATED 2024-04-01 15:51:23 UTC
LAST UPDATED 2024-04-01 15:51:23 UTC
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