WAYNE P CARLSON MD - Medical Doctor License in Illinois | # 036064835

WAYNE P CARLSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064835

License Status

INACTIVE

Business

N

First Name

WAYNE P

Last Name

CARLSON

Suffix

MD

Business Name

WAYNE P CARLSON MD

Original Issue Date

07/20/1982

Effective Date

05/23/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

04/05/2020