INGRID OLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002196

License Status

NOT RENEWED

Business

First Name

INGRID

Last Name

OLSON

Business Name

INGRID OLSON

Original Issue Date

12/10/2003

Effective Date

12/10/2003

Expiration Date

03/01/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006