JEFFREY ROBERT OLSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052641

License Status

EXPIRED

Business

Title

First Name

JEFFREY

Middle

ROBERT

Last Name

OLSEN

Business Name

JEFFREY ROBERT OLSEN MD

Original Issue Date

06/15/2007

Effective Date

06/15/2007

Expiration Date

06/14/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008