RICHARD WALTER OLSEN DDS - Dentist License in Illinois | # 021000670

RICHARD WALTER OLSEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000670

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

11/04/2009