JACK C OLSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

JACK C

Last Name

OLSON JR

Suffix

Business Name

JACK C OLSON JR MD

Original Issue Date

10/21/1992

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023