STEPHANIE SUE OLSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059186

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

SUE

Last Name

OLSON

Business Name

STEPHANIE SUE OLSON MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014