GREGORY GRANT OLSEN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001609

License Status

CANCELLED

Business

First Name

GREGORY

Middle

GRANT

Last Name

OLSEN

Business Name

GREGORY GRANT OLSEN

Original Issue Date

08/28/2006

Effective Date

08/28/2006

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/23/2006