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 2026-08-07 09:47:15 UTC
LAST UPDATED 2026-08-07 09:47:15 UTC
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