License holder summary

E. KEITH HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for E. KEITH HANSEN is 7456 Stone Road Salt Lake City UT 84121. This licensed professional license is not current. The license was granted 01/11/1976 and expired on 07/01/1973.

Idaho

Division of Occupational and Professional Licenses

E. KEITH HANSEN
Board Of Medicine
License number
M-3450
Date granted
01/11/1976
Date expires
07/01/1973
Class
Board Of Medicine
Status
Canceled
Address
7456 Stone Road Salt Lake City UT 84121
idaholicensing.com
ID 48360675
LAST UPDATED 2024-02-19 10:50:05 UTC

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