DANIEL M OELSLAGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

OELSLAGER

Business Name

DANIEL M OELSLAGER

Original Issue Date

05/22/2001

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

PINGREE GROVE

State

Zip

60140

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020