DAVID EDWIN OLSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

CANCELLED

Business

First Name

DAVID EDWIN

Last Name

OLSON

Suffix

Business Name

DAVID EDWIN OLSON MD

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

07/31/1999

City

CENTRALIA

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006