JOHN CLIFFORD OLSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110604

License Status

INACTIVE

Business

First Name

JOHN

Middle

CLIFFORD

Last Name

OLSEN

Suffix

Business Name

JOHN CLIFFORD OLSEN MD

Original Issue Date

12/18/2003

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

04/17/2023