DANIEL J OLSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000276

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

OLSEN

Business Name

DANIEL J OLSEN

Original Issue Date

10/22/1984

Effective Date

10/22/1984

Expiration Date

03/01/1988

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006