License holder summary

DWAYNE MAXWELL HANSEN JR. is a Board Of Medicine licensed to practice in Idaho. The address on file for DWAYNE MAXWELL HANSEN JR. is 1621 MATLOCKCT SANDY UT 84093. This licensed professional license is current. The license was granted 06/14/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DWAYNE MAXWELL HANSEN JR.
Board Of Medicine
License number
MSM-0674
Date granted
06/14/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1621 MATLOCKCT SANDY UT 84093
idaholicensing.com
ID 48360674
LAST UPDATED 2024-03-02 05:07:41 UTC

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