MARY BARBARA OLSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010840

License Status

INACTIVE

Business

First Name

MARY

Middle

BARBARA

Last Name

OLSON

Business Name

MARY BARBARA OLSON

Original Issue Date

10/29/2003

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/04/2009