CHARLES ROBERT OLAF DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

CHARLES ROBERT

Last Name

OLAF

Suffix

Business Name

CHARLES ROBERT OLAF DO

Original Issue Date

09/28/1984

Effective Date

09/28/1984

Expiration Date

07/31/1990

City

PAXTON

State

Zip

60957

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006