JEFFREY PATRICK OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097353

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

PATRICK

Last Name

OLSON

Business Name

JEFFREY PATRICK OLSON MD

Original Issue Date

03/05/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WEST HOLLYWOOD

State

Zip

90069

Ever Disciplined

LastModifiedDate

02/17/2012

Case Number

2011006705

Action

Suspension

Discipline Start Date

10/14/2011

Discipline Reason

Failure to file and/or pay Illinois state income taxes.