ANDREW BRETT OLSEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064068

License Status

CANCELLED

Business

First Name

ANDREW

Middle

BRETT

Last Name

OLSEN

Suffix

Business Name

ANDREW BRETT OLSEN DO

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014