ANDREW CANNON OLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

CANNON

Last Name

OLSON

Suffix

DDS

Business Name

ANDREW CANNON OLSON DDS

Original Issue Date

05/23/2008

Effective Date

06/16/2009

Expiration Date

09/30/2012

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012