TIMOTHY W OLSEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092242

License Status

INACTIVE

Business

First Name

TIMOTHY W

Last Name

OLSEN

Business Name

TIMOTHY W OLSEN

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

07/31/1999

City

MADISON

State

Zip

53792

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/01/2007