JEFFREY ROBERT OLSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

ROBERT

Last Name

OLSEN

Business Name

JEFFREY ROBERT OLSEN MD

Original Issue Date

02/13/2013

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017