KEITH ELDON OLSAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009101

License Status

NOT RENEWED

Business

First Name

KEITH ELDON

Last Name

OLSAN

Suffix

DDS

Business Name

KEITH ELDON OLSAN DDS

Original Issue Date

08/20/1946

Effective Date

08/20/1946

Expiration Date

09/30/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005