MICHAEL SCOTT OLSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051300

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

OLSEN

Suffix

Business Name

MICHAEL SCOTT OLSEN MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009