LESLIE G OLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123465

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

OLSON

Business Name

LESLIE G OLSON

Original Issue Date

05/18/2009

Effective Date

05/18/2009

Expiration Date

07/31/2011

City

CROZET

State

Zip

22932

Ever Disciplined

LastModifiedDate

11/14/2011