LUKE CARLSTROM - Medical Doctor License in Illinois | # 125046034

LUKE CARLSTROM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046034

License Status

EXPIRED

Business

N

First Name

LUKE

Last Name

CARLSTROM

Business Name

LUKE CARLSTROM

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006