ADAM STEPHEN OLSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148560

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

STEPHEN

Last Name

OLSEN

Business Name

ADAM STEPHEN OLSEN MD

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

01/14/2021