BRIAN RAY OLESON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

BRIAN RAY

Last Name

OLESON

Suffix

DDS

Business Name

BRIAN RAY OLESON DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005