JOHANNES O OLSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048332

License Status

NOT RENEWED

Business

First Name

JOHANNES O

Last Name

OLSEN

Suffix

Business Name

JOHANNES O OLSEN MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

City

LOCUST VALLEY

State

Zip

11560

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006