MELVIN DAVID OLSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

MELVIN DAVID

Last Name

OLSON

Suffix

DDS

Business Name

MELVIN DAVID OLSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2007