WADE D CARLSON - Medical Doctor License in Illinois | # 125037041

WADE D CARLSON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037041

License Status

EXPIRED

Business

N

First Name

WADE

Middle

D

Last Name

CARLSON

Business Name

WADE D CARLSON

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006