KEVIN W OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

KEVIN W

Last Name

OLSON

Suffix

Business Name

KEVIN W OLSON MD

Original Issue Date

03/15/1991

Effective Date

03/15/1991

Expiration Date

07/31/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006