TRICIA LYNNE OLSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

CANCELLED

Business

First Name

TRICIA

Middle

LYNNE

Last Name

OLSON

Suffix

Business Name

TRICIA LYNNE OLSON OD

Original Issue Date

05/08/2002

Effective Date

05/22/2004

Expiration Date

03/31/2004

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005