MELVIN DAVID OLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013947

License Status

NOT RENEWED

Business

First Name

MELVIN DAVID

Last Name

OLSON

Suffix

DDS

Business Name

MELVIN DAVID OLSON DDS

Original Issue Date

08/18/1970

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/08/2006