BRENT OLSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077519

License Status

CANCELLED

Business

Title

First Name

BRENT

Last Name

OLSON

Business Name

BRENT OLSON DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OLNEY

State

Zip

62450

County

RICHLAND

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/20/2021