DOUGLAS OLE OLSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063548

License Status

INACTIVE

Business

First Name

DOUGLAS OLE

Last Name

OLSEN

Suffix

Business Name

DOUGLAS OLE OLSEN MD

Original Issue Date

11/13/1981

Effective Date

11/13/1981

Expiration Date

07/31/1987

City

BRENTWOOD

State

Zip

37027

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006