RICHARD WALTER OLSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000670

License Status

NOT RENEWED

Business

First Name

RICHARD WALTER

Last Name

OLSEN

Suffix

DDS

Business Name

RICHARD WALTER OLSEN DDS

Original Issue Date

12/07/1970

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/04/2009