License holder summary

MARK O HANSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK O HANSEN is 583 S.Clarizz Blvd., Bloomington IN 47401. This licensed professional license is current. The license was granted 03/28/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARK O HANSEN
Controlled Substance Registration - Physician
License number
01044844B
Date granted
03/28/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
583 S.Clarizz Blvd., Bloomington IN 47401
indianalicensing.org
ID 5825205
LAST UPDATED 2024-05-15 02:45:43 UTC

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