ANDREW WAYNE OLSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000903

License Status

ACTIVE

Business

First Name

ANDREW

Middle

WAYNE

Last Name

OLSEN

Business Name

ANDREW WAYNE OLSEN

Original Issue Date

10/07/2014

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

TRAVERSE CITY

State

Zip

49684

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/03/2024