License holder summary

Timothy James Hansen is a Medical Residency Permit licensed to practice in Indiana. The address on file for Timothy James Hansen is Avon IN 46123. This licensed professional license is not current. The license was granted 05/18/2009 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Timothy James Hansen
Medical Residency Permit
License number
11014808A
Date granted
05/18/2009
Date expires
06/30/2010
Class
Medical Residency Permit
Status
Expired
Address
Avon IN 46123
indianalicensing.org
ID 5968520
LAST UPDATED 2024-03-06 19:34:53 UTC

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