License holder summary

Stephen Michael Hansen is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Stephen Michael Hansen is Indianapolis IN 46260. This licensed professional license is not current. The license was granted 05/26/2004 and expired on 08/26/2004.

Indiana

Professional Licensing Agency

Stephen Michael Hansen
Temporary Medical Doctor Permit
License number
99012847A
Date granted
05/26/2004
Date expires
08/26/2004
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46260
indianalicensing.org
ID 6133747
LAST UPDATED 2024-04-06 20:15:03 UTC

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