KRISTINA I OLSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

Last Name

OLSEN

Business Name

KRISTINA I OLSEN

Original Issue Date

04/06/2004

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023