STEPHANIE SUE OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

SUE

Last Name

OLSON

Business Name

STEPHANIE SUE OLSON MD

Original Issue Date

04/29/2014

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021