DEREK RYAN OLSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113363

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

RYAN

Last Name

OLSON

Suffix

Business Name

DEREK RYAN OLSON DO

Original Issue Date

03/29/2005

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021