K MICHAEL OLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000202

License Status

NOT RENEWED

Business

First Name

Middle

MICHAEL

Last Name

OLSON

Business Name

K MICHAEL OLSON

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

01/11/1984

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/30/2010