BRIAN D OLSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

OLSON

Suffix

DMD

Business Name

BRIAN D OLSON DMD

Original Issue Date

10/23/1993

Effective Date

10/23/1993

Expiration Date

09/30/1994

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005