BRIAN P OLOFSSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

BRIAN P

Last Name

OLOFSSON

Suffix

Business Name

BRIAN P OLOFSSON MD

Original Issue Date

08/15/1983

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023