LANCE EDWIN OLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

LANCE EDWIN

Last Name

OLSON

Suffix

Business Name

LANCE EDWIN OLSON MD

Original Issue Date

12/13/1983

Effective Date

12/13/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006