MICHAEL TAYLOR OLSEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000544

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

TAYLOR

Last Name

OLSEN

Business Name

MICHAEL TAYLOR OLSEN

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

03/06/2002

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006