ANDREW WAYNE OLSEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

ANDREW

Middle

WAYNE

Last Name

OLSEN

Business Name

ANDREW WAYNE OLSEN

Original Issue Date

06/08/2010

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

TRAVERSE CITY

State

Zip

49684

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/03/2024