ANDREW MICHAEL CARLSON MD - Medical Doctor License in Illinois | # 125082204

ANDREW MICHAEL CARLSON MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082204

License Status

ACTIVE

Business

N

Title

MD

First Name

ANDREW

Middle

MICHAEL

Last Name

CARLSON

Business Name

ANDREW MICHAEL CARLSON MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/29/2023