License holder summary

Dr. STEPHEN MICHAEL HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STEPHEN MICHAEL HANSEN is 950 HOSPITAL WAY STE A POCATELLO ID 83201. This licensed professional license is current. The license was granted 06/01/2012 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. STEPHEN MICHAEL HANSEN
Board Of Medicine
License number
M-11666
Date granted
06/01/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
950 HOSPITAL WAY STE A POCATELLO ID 83201
idaholicensing.com
ID 48360720
LAST UPDATED 2024-04-13 13:06:30 UTC

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