GREGORY GRANT OLSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027270

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

GRANT

Last Name

OLSEN

Business Name

GREGORY GRANT OLSEN

Original Issue Date

01/26/2007

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

CICERO

State

Zip

60814

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012