HEATHER J OLSON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

CANCELLED

Business

First Name

HEATHER

Middle

Last Name

OLSON

Business Name

HEATHER J OLSON

Original Issue Date

11/18/2002

Effective Date

11/18/2002

Expiration Date

09/30/2006

City

SCHAUMBURG

State

Zip

60193

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006