KRISTINA I OLSEN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039758

License Status

CANCELLED

Business

First Name

KRISTINA

Middle

Last Name

OLSEN

Business Name

KRISTINA I OLSEN

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/22/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006