JOHN BRADLEY OLSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

JOHN BRADLEY

Last Name

OLSON

Business Name

JOHN BRADLEY OLSON

Original Issue Date

11/14/1983

Effective Date

11/05/2021

Expiration Date

09/30/2024

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025