STEPHEN MICHAEL OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

MICHAEL

Last Name

OLSON

Business Name

STEPHEN MICHAEL OLSON MD

Original Issue Date

05/14/2012

Effective Date

05/14/2012

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020