Idaho
Division of Occupational and Professional Licenses
Dr. DOUGLAS A HANSEN
Board Of Medicine
License number
M-12032
Date granted
05/30/2013
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
PO Box 3405 Spokane WA 99220
idaholicensing.com
ID 48360670
LAST UPDATED 2024-03-10 00:39:16 UTC
LAST UPDATED 2024-03-10 00:39:16 UTC
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