DAVID JOHN OLYSAV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

DAVID JOHN

Last Name

OLYSAV

Suffix

Business Name

DAVID JOHN OLYSAV MD

Original Issue Date

05/14/2002

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

SHERMAN

State

Zip

62684

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021