WALTER EDWARD OLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012162

License Status

NOT RENEWED

Business

First Name

WALTER EDWARD

Last Name

OLSON

Suffix

DDS

Business Name

WALTER EDWARD OLSON DDS

Original Issue Date

12/03/1962

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

LAGRANGE

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012