LAWRENCE EDWARD OLSEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011025

License Status

INACTIVE

Business

First Name

LAWRENCE EDWARD

Last Name

OLSEN

Business Name

LAWRENCE EDWARD OLSEN

Original Issue Date

01/30/1957

Effective Date

01/30/1957

Expiration Date

09/30/1990

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005