LELAN RAY OLSEN DVM Veterinarian License verification

Business Entity

CANCELLED

License Type

Veterinarian

Description

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

License Number

39*****68

License Status

CANCELLED

Business

First Name

LELAN

Middle

RAY

Last Name

OLSEN

Suffix

DVM

Business Name

LELAN RAY OLSEN DVM

Original Issue Date

11/07/2002

Effective Date

11/07/2002

Expiration Date

01/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2005