DOUGLAS W OLEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044698

License Status

INACTIVE

Business

First Name

DOUGLAS W

Last Name

OLEN

Suffix

Business Name

DOUGLAS W OLEN MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/31/1987

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006