RICHARD WALTER OLSEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013422

License Status

INACTIVE

Business

First Name

RICHARD WALTER

Last Name

OLSEN

Suffix

DDS

Business Name

RICHARD WALTER OLSEN DDS

Original Issue Date

07/16/1968

Effective Date

06/26/2009

Expiration Date

09/30/2012

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

06/06/2012