LAWRENCE D CARLSON MD - Medical Doctor License in Illinois | # 125013805

LAWRENCE D CARLSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013805

License Status

EXPIRED

Business

N

First Name

LAWRENCE D

Last Name

CARLSON

Suffix

MD

Business Name

LAWRENCE D CARLSON MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/23/1984

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006