ANDERS D CARLSTEDT - Medical Doctor License in Illinois | # 125046455

ANDERS D CARLSTEDT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046455

License Status

EXPIRED

Business

N

First Name

ANDERS

Middle

D

Last Name

CARLSTEDT

Business Name

ANDERS D CARLSTEDT

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006