TIMOTHY W OLSEN - Medical Doctor License in Wisconsin | # 036092242

TIMOTHY W OLSEN

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092242

License Status

INACTIVE

Business

N

First Name

TIMOTHY W

Last Name

OLSEN

Business Name

TIMOTHY W OLSEN

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

07/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

10/01/2007