DAVID M OLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

OLSON

Business Name

DAVID M OLSON

Original Issue Date

09/21/1992

Effective Date

09/21/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006