ANDREW WAYNE OLSEN - Dentist License in Michigan | # 137000903

ANDREW WAYNE OLSEN

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000903

License Status

ACTIVE

Business

N

First Name

ANDREW

Middle

WAYNE

Last Name

OLSEN

Business Name

ANDREW WAYNE OLSEN

Original Issue Date

10/07/2014

Effective Date

05/03/2024

Expiration Date

09/30/2027

State

MI

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

05/03/2024