JOHN CLIFFORD OLSEN MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

INOPERATIVE

Business

First Name

JOHN

Middle

CLIFFORD

Last Name

OLSEN

Suffix

Business Name

JOHN CLIFFORD OLSEN MD

Original Issue Date

02/03/2004

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023