ANDREA G CARLSON MD - Medical Doctor License in Illinois | # 125034694

ANDREA G CARLSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034694

License Status

EXPIRED

Business

N

First Name

ANDREA

Middle

G

Last Name

CARLSON

Suffix

MD

Business Name

ANDREA G CARLSON MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/23/1999

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006